Individual
CHARLES DRAKE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2347 GRACIE ST, BATON ROUGE, LA 70802-3088
(225) 329-3342
Mailing address
2347 GRACIE ST, BATON ROUGE, LA 70802-3088
(225) 329-3342
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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