JELANI DRAKE

ANAHEIM, CA
NPI1104311232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-07-01
Last Update Date2018-07-01
Business Address
JELANI DRAKE
2020 W ALAMEDA AVE APT 10F
ANAHEIM, CA 92801-5361
Phone number: 714-414-9682
Mailing Address
JELANI DRAKE
2020 W ALAMEDA AVE APT 10F
ANAHEIM, CA 92801-5361
Phone number: