Individual
ALISHA ANNETTE FAVORITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 POTRERO ST STE 42-103, SANTA CRUZ, CA 95060-2779
(831) 466-9307
Mailing address
303 POTRERO ST STE 42-103, SANTA CRUZ, CA 95060-2779
(831) 466-9307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6292
CA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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