Individual
MS. CHERYL LUTRICIA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1101 SOUTH MAIN STREET, FORT WORTH, TX 76104
(817) 673-6991
Mailing address
1101 SOUTH MAIN, SUITE1350, FORT WORTH,TX,76104, TX 76013-5158
(817) 673-6991
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
209646
TX
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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