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Organization

BRANTLEY T. JOLLY, M.D. PROF CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANTLEY JOLLY MD (OWNER)
(804) 337-0425
Entity
Organization

Contact information

Practice address
425 CALIFORNIA ST STE 14, SAN FRANCISCO, CA 94104-2102
(804) 337-0425
Mailing address
425 CALIFORNIA ST STE 14, SAN FRANCISCO, CA 94104-2102
(804) 337-0425

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
05/22/2024
Last updated
05/22/2024
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