Individual
MS. DEENA MARIE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, AGACNP-BC
Contact information
Practice address
751 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6617
(858) 296-2512
Mailing address
4438 MCCLINTOCK ST, SAN DIEGO, CA 92116-4613
(619) 280-0082
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95032529
CA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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