Dasha Witch-Hazel Mactavish
Dasha Witch-Hazel Mactavish is a Peer Specialist in San Diego, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1660 Hotel Cir N Ste 314San Diego, CA 92108-2803
Phone: (619) 961-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1679225759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 20, 2022 |
| Last updated in NPPES | January 20, 2022 |
| Certification date | January 20, 2022 |
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