Most Relevant Information
Provider Data
NPI Number: | 1003554882 |
Provider Name: | DANIELLE MICHELLE DRAKE |
Entity Type: | Individual |
Taxonomy Code: | 372500000X |
Specialty: | Chore Provider |
License Number: |
Most Important Dates
Enumeration Date: | 05/23/2022 |
Last Updated: | 05/23/2022 |
Provider Practice Location
212 INDIAN PAINTBRUSH ST APT 4
CASPER
WY
826043847
Practice Location Phone/Fax
Phone: | 3073158376 |
Fax: |
Provider Mailing Location
212 INDIAN PAINTBRUSH ST APT 4
CASPER
WY
826043847
Provider Mailing Phone/Fax
Phone: | 3073158376 |
Fax: |