Search › California › 103K00000X
Maryellie Jacquez
NPI 1124519335 · on the registry since 2018
Practice
- Address
- 301 S La Cadena Dr
Colton, CA 92324 - Phone
- (909) 219-5260
- Fax
- (909) 264-3728
- Organisation at this address
- Mallu Reddy, Md, Inc
All United Medical Group Ipa
Colton Clinica Medica Familiar A Medical CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 172V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California