Individual
LUNA P DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2231
Mailing address
15645 VALERIO ST APT 16, VAN NUYS, CA 91406-6760
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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