JORDAN AUSTIN DRAKE

MAUMEE, OH
NPI1356708531
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-01-19
Last Update Date2016-01-19
Business Address
-- JORDAN AUSTIN DRAKE
2424 WINDING CREEK DR
MAUMEE, OH 43537-1034
Phone number: 419-376-2108
Mailing Address
-- JORDAN AUSTIN DRAKE
2424 WINDING CREEK DR
MAUMEE, OH 43537-1034
Phone number: 419-376-2108