Individual
MONIQUE A DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 LIVEWELL DR, KENNEBUNK, ME 04043-6762
(207) 467-8550
(207) 467-8551
Mailing address
2 LIVEWELL DR, KENNEBUNK, ME 04043-6762
(207) 467-8550
(207) 467-8551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0684
NH
363A00000X
Physician Assistant
Primary
PA2807
ME
363A00000X
Physician Assistant
PA9114205
FL
Other
Enumeration date
01/25/2017
Last updated
05/07/2025
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