Organization
JACQUELINE BRACY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE BRACY M.D. (PRESIDENT)
(626) 852-0411
Entity
Organization
Contact information
Practice address
412 W CARROLL AVE, SUITE 107, GLENDORA, CA 91741-4240
(626) 852-0411
(626) 852-0407
Mailing address
PO BOX 1418, GLENDORA, CA 91740-1418
(626) 852-0411
(626) 852-0407
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C043356
CA
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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