Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Martha Y Brantley-Jackson

Individual provider Preferred Provider Organization · NPI 1396302261

Martha Y Brantley-Jackson is a Preferred Provider Organization in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

25400 Alessandro Blvd Ste 101
Moreno Valley, CA 92553-4319
Phone: (951) 570-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X (CA)

Record details

NPI number1396302261
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 24, 2019
Last updated in NPPESMay 24, 2019

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