Individual
JERENE FAYE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 RIVERVIEW DR, ORD, NE 68862-2000
(308) 728-3621
Mailing address
420 RIVERVIEW DR, ORD, NE 68862-2000
(308) 728-3621
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
01/08/2025
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