Individual
DEBRA L DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 DALE RD, MODESTO, CA 95356-8627
(209) 735-5000
Mailing address
713A PRESIDENT PL, SMYRNA, TN 37167-5652
(615) 220-0056
(615) 220-0456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C144613
CA
207Q00000X
Family Medicine Physician
MD0000036548
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4069545
—
TN
Enumeration date
06/08/2006
Last updated
04/12/2022
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