Individual
MARIEM JENDOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 W HILDY CT, SPOTSYLVANIA, VA 22553-3623
(540) 760-2717
Mailing address
4117 PLANK RD, FREDERICKSBURG, VA 22407-4888
(540) 785-8018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024193956
VA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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