Individual
MISS LETISSHA M DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1969 OLD CHARLOTTE HWY STE E, MONROE, NC 28110-9151
(704) 225-3451
(704) 225-9796
Mailing address
1969 OLD CHARLOTTE HWY STE E, MONROE, NC 28110-9151
(704) 225-3451
(704) 225-9796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C29396
NC
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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