Individual
CHERYL DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2580 LAKE TAHOE BLVD STE A, SOUTH LAKE TAHOE, CA 96150-7723
(530) 643-0113
Mailing address
PO BOX 13125, SOUTH LAKE TAHOE, CA 96151-3125
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC3013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC3013
ACUPUNCTURE BOARD
CA
Enumeration date
06/10/2016
Last updated
06/10/2016
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