Individual
TAHIRA DRAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3106 DRUMMOND PLZ, NEWARK, DE 19711-5745
(833) 886-2277
Mailing address
590 NAAMANS RD, CLAYMONT, DE 19703-2308
(833) 886-2277
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0024123
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L2-0024123
—
DE
Enumeration date
12/20/2022
Last updated
12/20/2022
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