Individual
MR. EZEKIEL JOUBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24261 ELWELL RD, BELLEVILLE, MI 48111-9412
(734) 548-0294
Mailing address
24261 ELWELL RD, BELLEVILLE, MI 48111-9412
(734) 548-0294
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
236222
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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