Individual
DR. DRAKE WIMBERLY DAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-8527
Mailing address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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