DRAKE WIMBERLY DAILY

SHREVEPORT, LA
NPI1750132718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
Dr. DRAKE WIMBERLY DAILY D.O
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-8527
Mailing Address
Dr. DRAKE WIMBERLY DAILY D.O
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: