Provider Demographics
NPI:1962231274
Name:STEPTORE, ATIYA NAIMA
Entity type:Individual
Prefix:
First Name:ATIYA
Middle Name:NAIMA
Last Name:STEPTORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 LA TERRAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3877
Mailing Address - Country:US
Mailing Address - Phone:760-519-4526
Mailing Address - Fax:
Practice Address - Street 1:150 LA TERRAZA BLVD
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3877
Practice Address - Country:US
Practice Address - Phone:760-519-4526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker