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Individual

BREANNA PANNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1511 163RD AVE, SAN LEANDRO, CA 94578-5103
(316) 841-7794
Mailing address
1511 163RD AVE APT 37, SAN LEANDRO, CA 94578-5105
(316) 841-7794

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
CA

Other

Enumeration date
06/07/2023
Last updated
06/07/2023
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Product
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