Individual
MARQUIS DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 8TH ST APT 3, FAIRMONT, WV 26554-2503
(304) 365-0472
Mailing address
610 8TH ST APT 3, FAIRMONT, WV 26554-2503
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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