Provider Demographics
NPI:1841950920
Name:DOWNING-JACKSON, EUNICE
Entity type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:
Last Name:DOWNING-JACKSON
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 1:3874 S. SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-1141
Mailing Address - Country:US
Mailing Address - Phone:213-840-4894
Mailing Address - Fax:
Practice Address - Street 1:3874 S. SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-1141
Practice Address - Country:US
Practice Address - Phone:213-840-4894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator