Individual
STACEY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
104822
NE
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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