Justus Daniel Leprevost
Justus Daniel Leprevost is an Athletic Trainer in Ellerslie, Maryland. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location PO Box
PO Box 246Ellerslie, MD 21529-0246
Phone: (301) 697-2174
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1578386132 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 4, 2024 |
| Last updated in NPPES | November 4, 2024 |
| Certification date | November 3, 2024 |
| Mailing address | Po Box 246, Ellerslie, MD 21529-0246 |