Individual
HEIDILYN MARIE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1033 DEVLAC GRV, BOWLING GREEN, OH 43402-4501
(419) 352-5561
Mailing address
127 VENANGO ST, CYGNET, OH 43413-9803
(567) 207-1269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN443922
OH
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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