ISAIAH SCOTT HAGOOD

SAN DIEGO, CA
NPI1184402141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-09-20
Last Update Date2023-09-20
Business Address
ISAIAH SCOTT HAGOOD
SURFACE WARFARE MEDICAL INSTITUTE BUILDING 14, 34101 FARENHOLT AVE
SAN DIEGO, CA 92129
Phone number: 619-532-7968
Mailing Address
ISAIAH SCOTT HAGOOD
8271 WAVERLY LN UNIT 67
SAN DIEGO, CA 92129-4744
Phone number: 618-210-1893