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Individual

MINDY JEAN DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
94 N MAIN ST, SUITE 104, WELLSVILLE, NY 14895-1250
(585) 593-9410
(585) 593-9411
Mailing address
138 S BROAD ST, WELLSVILLE, NY 14895-1608
(585) 593-9410
(585) 593-9411

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
161365147
NY

Other

Enumeration date
12/29/2010
Last updated
12/29/2010
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