Individual
ANGELA IRENE DRAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
34730 BOB WILSON DR, NEUROSCIENCES DEPARTMENT DVBIC NAVAL MEDICAL CENTER, SAN DIEGO, CA 92134-3201
(619) 532-5461
Mailing address
3023 FRIED AVE, SAN DIEGO, CA 92122-2234
(858) 558-0109
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY13616
CA
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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