Most Relevant Information
Provider Data
| NPI Number: | 1003445453 |
| Provider Name: | DEANNA KATHERINE MALEC RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0400X |
| Specialty: | Registered Nurse |
| License Number: | 618802 |
Most Important Dates
| Enumeration Date: | 04/07/2020 |
| Last Updated: | 04/07/2020 |
Provider Practice Location
18646 OXNARD ST
TARZANA
CA
913561411
Practice Location Phone/Fax
| Phone: | 8189961051 |
| Fax: |
Provider Mailing Location
18646 OXNARD ST
TARZANA
CA
913561411
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |