Most Relevant Information
Provider Data
| NPI Number: | 1003341314 |
| Provider Name: | DEANNA TRACY DOW M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2017 |
| Last Updated: | 03/28/2022 |
Provider Practice Location
300 UCLA MEDICAL PLZ STE 1273
LOS ANGELES
CA
900951303
Practice Location Phone/Fax
| Phone: | 3108259989 |
| Fax: |
Provider Mailing Location
5767 W CENTURY BLVD STE 400
LOS ANGELES
CA
900455631
Provider Mailing Phone/Fax
| Phone: | 3103018771 |
| Fax: |