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Individual

MRS. TONYA R DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
123 WALTER SHAW RD, EVERGREEN, NC 28438-9641
(504) 376-7969
Mailing address
123 WALTER SHAW RD, EVERGREEN, NC 28438-9641
(504) 376-7969

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
3497
LA

Other

Enumeration date
02/22/2021
Last updated
02/22/2021
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