Brantley, Gerald M

Brantley, Gerald M is an individual health care provider with primary practice located at 850 E Foothill Blvd , Rialto CA 92376-5230. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Brantley, Gerald M can be contacted via phone (909) 421-9452.

Contact Information

Primary practice address
850 E Foothill Blvd Rialto CA 92376-5230
Phone: (909) 421-9452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1619749751
LBN Legal business name Brantley, Gerald M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2023
Last updated Dec 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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