Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTHA Y BRANTLEY-JACKSON
Active Sole ProprietorMARTHA Y BRANTLEY-JACKSON is a Preferred Provider Organization healthcare provider located in MORENO VALLEY, California. NPI 1396302261 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · MORENO VALLEY, CA
Registration Details
- NPI Number
- 1396302261
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2019 (7.2476208775901 yrs)
- Last Updated
- May 24, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
25400 ALESSANDRO BLVD STE 101MORENO VALLEY, CA, 925534319Browse CA providers · Browse ZIP 92553
- Phone
- 9515700043
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.