Individual
JILL DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6754A N 55TH ST, MILWAUKEE, WI 53223-5953
(414) 760-3041
Mailing address
6754A N 55TH ST, MILWAUKEE, WI 53223-5953
(414) 760-3041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
156062-030
WI
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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