Individual
JACKALYN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4482 BARRANCA PKWY STE 180, IRVINE, CA 92604-4706
(949) 502-5050
Mailing address
4482 BARRANCA PKWY STE 180, IRVINE, CA 92604-4706
(949) 502-5050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L10126
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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