GLENN LOUIS DRAKE

CLAY, WV
NPI1447986823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
GLENN LOUIS DRAKE
172 MAIN STREET
CLAY, WV 25043-2504
Phone number: 304-587-4251
Mailing Address
GLENN LOUIS DRAKE
PO BOX 455
CLAY, WV 25043-0455
Phone number: 304-587-4251