Jepthe Soulouque, MS LAT ATC
NPI #1306446489 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1306446489
- Entity Type
- Individual
- Name
- Jepthe Soulouque, MS LAT ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS LAT ATC
- Enumeration Date
- Oct 28, 2020
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 235 BAKER ST
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-4395
- Phone
- (617) 469-8055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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