Most Relevant Information
Provider Data
| NPI Number: | 1003493248 |
| Provider Name: | DRAKE SECCURRO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2021 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
3130 HIGHLAND AVE
CINCINNATI
OH
452192399
Practice Location Phone/Fax
| Phone: | 5135844503 |
| Fax: |
Provider Mailing Location
PO BOX 636256
CINCINNATI
OH
452636256
Provider Mailing Phone/Fax
| Phone: | 5135856200 |
| Fax: | 5132453672 |