Individual
DR. JASON MATTHEW DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3301 13TH AVE S, FARGO, ND 58103-6303
(701) 234-0057
(701) 234-0042
Mailing address
3301 13TH AVE S, FARGO, ND 58103-6303
(701) 234-0057
(701) 234-0042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
721
ND
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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