JACOB BRODY HOOD LAKE

SAN DIEGO, CA
NPI1871355974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
JACOB BRODY HOOD LAKE IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 757-376-3269
Mailing Address
JACOB BRODY HOOD LAKE IDC
137 CARNATION AVE
IMPERIAL BEACH, CA 91932-1007
Phone number: 757-376-3269
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