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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEPTHE SOULOUQUE, MS LAT ATC

Active

JEPTHE SOULOUQUE, MS LAT ATC is a Athletic Trainer healthcare provider located in WEST ROXBURY, Massachusetts. NPI 1306446489 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WEST ROXBURY, MA

Registration Details

NPI Number
1306446489
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2020 (5.7525175752468 yrs)
Last Updated
Oct 28, 2020
License
30544 (MA)

Practice Information

Address
235 BAKER ST
WEST ROXBURY, MA, 021324395
Browse MA providers · Browse ZIP 02132
Phone
6174698055
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WEST ROXBURY, MA

Name Credential NPI
MR. LEONARD VINCENT FINAMORE JR. LATC, CSCS 1124069026
MRS. MELISSA KOLSBY BEARDSLEY ATC 1124156708
MELANIE MAY BACHTELER LAT, ATC 1447874904
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.