Individual
MS. ELISABETH DRAKE NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2863 E GLENCOVE ST, MESA, AZ 85213
(480) 588-6766
Mailing address
2863 E GLENCOVE ST, MESA, AZ 85213
(480) 588-6766
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5765
AZ
Other
Enumeration date
12/22/2006
Last updated
07/18/2007
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