DAIKOTA LEWIS

SAN DIEGO, CA
NPI1932874617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-13
Last Update Date2021-08-13
Business Address
DAIKOTA LEWIS CNA
3511 INDIA ST
SAN DIEGO, CA 92103-4739
Phone number: 619-294-5760
Mailing Address
DAIKOTA LEWIS CNA
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: