Individual
BRIANNA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 E GRANGER AVE, MODESTO, CA 95350-4545
(209) 525-6155
Mailing address
522 E GRANGER AVE, MODESTO, CA 95350-4545
(209) 412-9465
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-KJPMUG
CA
Other
Enumeration date
02/14/2024
Last updated
04/29/2026
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