Individual
JEANETTE MARIE BRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
597 CENTER AVE, SUITE 150, MARTINEZ, CA 94553-4640
(925) 313-6277
(925) 313-6029
Mailing address
597 CENTER AVE, SUITE 150, MARTINEZ, CA 94553-4640
(925) 313-6277
(925) 313-6029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
302370
CA
163WA2000X
Administrator Registered Nurse
Primary
302370
CA
163WC0400X
Case Management Registered Nurse
302370
CA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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