CANDICE SUPERVILLE DRAKES

NEW YORK, NY
NPI1235858861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NY  031655)
Enumeration Date2022-08-25
Last Update Date2022-08-25
Business Address
CANDICE SUPERVILLE DRAKES
131 W 110TH ST APT 1B
NEW YORK, NY 10026-4205
Phone number: 212-678-1944
Mailing Address
CANDICE SUPERVILLE DRAKES
131 W 110TH ST APT 1B
NEW YORK, NY 10026-4205
Phone number: