Individual
BREANNA VAN PERNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N PILGRIM ST, STOCKTON, CA 95205-4428
(209) 466-0853
(209) 466-0853
Mailing address
430 N PILGRIM ST, STOCKTON, CA 95205-4428
(209) 466-0853
(209) 466-0853
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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