Individual
SAMEM SHABAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9221 FOREST HILL AVE STE 1, PMB #1036, RICHMOND, VA 23235-6876
(703) 223-1669
Mailing address
1727 DUNNINGTON PL, DUMFRIES, VA 22026-2872
(703) 223-1669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001242554
VA
Other
Enumeration date
06/09/2025
Last updated
06/24/2025
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