Individual
GABRIELLE ROSE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 WARREN ST # B, BRIGHTON, MA 02135-3601
(617) 787-1901
Mailing address
10 W 66TH ST, NEW YORK, NY 10023-6206
(917) 565-2998
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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