KRISTINE DRAKE

PHOENIX, AZ
NPI1881319598
Former NameKRISTINE GALLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  9332)
Enumeration Date2022-10-05
Last Update Date2022-10-20
Business Address
KRISTINE DRAKE PA-C
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
Mailing Address
KRISTINE DRAKE PA-C
9124 W ROMA AVE
PHOENIX, AZ 85037-0814
Phone number: 586-907-7151