Individual
JARED JAMES GOODROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NAVY IDC
Contact information
Practice address
34101 FARENHOLT AVE, NAVAL SCHOOL OF HEALTH SCIENCES, SAN DIEGO, CA 92134-5291
(619) 532-5744
Mailing address
2962 WELLINGTON ST, SAN DIEGO, CA 92111-5740
(619) 200-3308
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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