TERRELL ANTHONY DRAKE

LAS VEGAS, NV
NPI1194483537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-12-02
Last Update Date2021-12-02
Business Address
TERRELL ANTHONY DRAKE
1333 N BUFFALO DR UNIT 250
LAS VEGAS, NV 89128-3637
Phone number: 702-507-0373
Mailing Address
TERRELL ANTHONY DRAKE
10166 SKYE SADDLE AVE
LAS VEGAS, NV 89166-6597
Phone number: 702-622-2679
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