Individual
DR. MALYNN THERESA DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
72 ROUTE 27, EDISON, NJ 08820-3986
(732) 662-9901
(732) 662-9904
Mailing address
72 ROUTE 27, EDISON, NJ 08820-3986
(732) 662-9901
(732) 662-9904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00738900
NJ
111N00000X
Chiropractor
DC-31279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38MC00738900
LICENSE NUMBER
NJ
Enumeration date
10/21/2009
Last updated
02/22/2017
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