TREVOR LEE DRAKE

IDAHO FALLS, ID
NPI1760884803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RN-38983)
Enumeration Date2014-09-19
Last Update Date2015-10-01
Business Address
TREVOR LEE DRAKE CRNA, MHS
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6264
Mailing Address
TREVOR LEE DRAKE CRNA, MHS
PO BOX 1891
IDAHO FALLS, ID 83403-1891
Phone number:
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