DATIA LEVON DRAKE

COVINGTON, LA
NPI1447089842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: LA  236145)
Enumeration Date2024-08-01
Last Update Date2024-08-01
Business Address
MS. DATIA LEVON DRAKE FNP
648 CRESTWOOD BLVD
COVINGTON, LA 70433-8261
Phone number: 985-805-2555
Mailing Address
MS. DATIA LEVON DRAKE FNP
42317 SEPTEMBER RAIN DR
HAMMOND, LA 70403-2115
Phone number: 985-634-2877