KENNETH DRAKE

SAN LUIS OBISPO, CA
NPI1780074591
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: CO  0002004)
Enumeration Date2015-02-01
Last Update Date2018-03-17
Business Address
KENNETH DRAKE
1124 NIPOMO ST STE C
SAN LUIS OBISPO, CA 93401-3883
Phone number: 805-202-1492
Mailing Address
KENNETH DRAKE
563 BAKEMAN LN
ARROYO GRANDE, CA 93420-3752
Phone number: 805-710-9184