DASHA WITCH-HAZEL MACTAVISH

SAN DIEGO, CA
NPI1679225759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-01-20
Last Update Date2022-01-20
Business Address
DASHA WITCH-HAZEL MACTAVISH
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108-2803
Phone number: 619-961-2120
Mailing Address
DASHA WITCH-HAZEL MACTAVISH
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108-2803
Phone number: