Individual
MR. BRANDON HAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3025 E ESCOBA DR APT 236, PALM SPRINGS, CA 92264
(248) 321-0886
Mailing address
3025 E ESCOBA DR APT 236, PALM SPRINGS, CA 92264-5593
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/14/2015
Last updated
07/30/2018
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