Individual
MS. DEINA INMAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621
(626) 404-6200
(626) 403-2580
Mailing address
1365 S. GRAND AVENUE, GLENDORA, CA 91740
(626) 857-2850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21425
CA
Other
Enumeration date
11/08/2006
Last updated
10/28/2021
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