RAVEN BRESHEARS
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1811677552
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | No | - |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1811677552 is the National Provider Identifier for RAVEN BRESHEARS, a Student in an Organized Health Care Education/Training Program provider located in Stockton, CA. This NPI was enumerated on July 18, 2023.
RAVEN BRESHEARS practices at 430 N PILGRIM ST, Stockton, CA 95205.
Quick Facts
- NPI
- 1811677552
- Type
- Individual
- Enumerated
- Jul 18, 2023
- Last Updated
- Oct 9, 2025
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