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Individual

BREANNA BARBEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2088 S INDEPENDENCE BLVD STE 103, VIRGINIA BEACH, VA 23453-4790
(757) 275-9331
(757) 416-7656
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12396
NC
363A00000X
Physician Assistant
0110007020
VA

Other

Enumeration date
05/13/2019
Last updated
12/09/2024
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