Justus Daniel Leprevost

NPI #1578386132 in Ellerslie, Maryland

Provider Information

NPI Number: 1578386132
Entity Type: Individual
Name: Justus Daniel Leprevost
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 4, 2024
Last Updated: Nov 4, 2024

Practice Location

Address: PO BOX 246
City: Ellerslie
State: Maryland
ZIP Code: 21529-0246
Phone: (301) 697-2174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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