Individual
DAVIDA DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PLAYERS CLUB DR, CHARLESTON, WV 25311-1639
(304) 414-4460
(304) 414-4461
Mailing address
1 PLAYERS CLUB DR, CHARLESTON, WV 25311-1639
(304) 414-4460
(304) 414-4461
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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