Breshears, Raven Jewel

Breshears, Raven Jewel is an individual health care provider with primary practice located at 920 16Th St , Modesto CA 95354-1119. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Technician, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Breshears, Raven Jewel can be contacted via phone (209) 558-4595.

Contact Information

Primary practice address
920 16Th St Modesto CA 95354-1119
Phone: (209) 558-4595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1811677552
LBN Legal business name Breshears, Raven Jewel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Sep 7th, 2023 - about 2 years ago

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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