Individual
VIRGINIA R DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RVT, RT, LVN
Contact information
Practice address
2718A N MAIN ST, LIBERTY, TX 77575-3909
(936) 336-3616
Mailing address
PO BOX 222, LIBERTY, TX 77575-0222
(936) 336-3616
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
115278
TX
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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