Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shoudlie Manotte Joseph, SA-C

Individual provider Surgical Assistant · NPI 1639720865

Shoudlie Manotte Joseph, SA-C is a Surgical Assistant in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

5811 Bustleton Ave
Philadelphia, PA 19149-3405
Phone: (347) 444-0241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 19-399 (FL)

Record details

NPI number1639720865
Entity typeIndividual (Type 1)
GenderFemale
Credentials SA-C
Sole proprietorYes
NPI enumeratedSeptember 29, 2019
Last updated in NPPESSeptember 29, 2019

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