SHANNON VICTORIA DRAKE

CORTLAND, NY
NPI1578827341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  401477)
Enumeration Date2012-06-27
Last Update Date2013-09-25
Business Address
-- SHANNON VICTORIA DRAKE
10 N MAIN ST
CORTLAND, NY 13045
Phone number: 607-753-0234
Mailing Address
-- SHANNON VICTORIA DRAKE
5776 HOWELL RD
LOCKE, NY 13092
Phone number: 607-423-9304