Individual
ANGEL NICOLE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5716 7 GABLES AVE, TROTWOOD, OH 45426-2114
(937) 837-8820
Mailing address
5716 7 GABLES AVE, TROTWOOD, OH 45426-2114
(937) 837-8820
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
128851
OH
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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