Individual
MRS. JENNIFER ELAINE SOUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, MS, LAT, ATC
Contact information
Practice address
10256 CHERRY WALK CT, OAKTON, VA 22124-2532
(317) 965-2333
Mailing address
10256 CHERRY WALK CT, OAKTON, VA 22124-2532
(317) 965-2333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002953
VA
2255A2300X
Athletic Trainer
36001126A
IN
Other
Enumeration date
07/02/2008
Last updated
05/24/2022
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