Individual
MARK DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
423 S WASHINGTON ST., MARYVILLE, TN 37804
(865) 315-3157
Mailing address
4701 SIMONA RD, KNOXVILLE, TN 37918-4535
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
531
TN
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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