Individual
SANDY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 865-9040
Mailing address
10373 DUGAN GAP RD, NORTH BEND, OH 45052-9750
(513) 543-4027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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