Individual
LATESHA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 GEORGE DANIELS RD, MANTEO, NC 27954-9355
(252) 599-3363
Mailing address
PO BOX 2404, MANTEO, NC 27954-2404
(252) 599-3363
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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