Individual
JESSICA LYNN GHAREEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(877) 415-4116
Mailing address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(561) 312-1081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004786
VA
Other
Enumeration date
11/19/2014
Last updated
08/15/2024
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