Individual
JELANI DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 W ALAMEDA AVE APT 10F, ANAHEIM, CA 92801-5361
(714) 414-9682
Mailing address
2020 W ALAMEDA AVE APT 10F, ANAHEIM, CA 92801-5361
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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