Most Relevant Information
Provider Data
| NPI Number: | 1003360892 |
| Provider Name: | THEA JEANNE ROWAN ASW |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/09/2016 |
| Last Updated: | 08/05/2020 |
Provider Practice Location
1910 CALIFORNIA ST
EUREKA
CA
955012899
Practice Location Phone/Fax
| Phone: | 7074439747 |
| Fax: |
Provider Mailing Location
1910 CALIFORNIA ST
EUREKA
CA
955012899
Provider Mailing Phone/Fax
| Phone: | 7074439747 |
| Fax: |