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Individual

HOTSHA WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8600
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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