DAVIDA DRAKE

CHARLESTON, WV
NPI1609686799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2025-01-10
Last Update Date2025-01-10
Business Address
DAVIDA DRAKE
1 PLAYERS CLUB DR
CHARLESTON, WV 25311-1639
Phone number: 304-414-4460
Mailing Address
DAVIDA DRAKE
1 PLAYERS CLUB DR
CHARLESTON, WV 25311-1639
Phone number: 304-414-4460
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