Individual
BREANNA YAMETRI POORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5957
(973) 479-5562
Mailing address
6 KILMER CT, LEDGEWOOD, NJ 07852-2303
(973) 479-5562
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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