ELISSA SUZANNE DRAKE

LAYTON, UT
NPI1033891791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: UT  6225016-3400)
Enumeration Date2023-08-02
Last Update Date2023-08-02
Business Address
Mrs. ELISSA SUZANNE DRAKE LDEM, CPM
1660 W ANTELOPE DR
LAYTON, UT 84041-1156
Phone number: 801-917-6104
Mailing Address
Mrs. ELISSA SUZANNE DRAKE LDEM, CPM
703 N 1050 W
CLEARFIELD, UT 84015-9331
Phone number: 801-686-0154
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