MRS. TESSA DRAKE

Driver

Active Individual
NPI: 1366186074

Practice Address

698 N 33RD ST
Decatur, IL 62521

Phone: (309) 264-6898

Specialties

Specialty Code Primary License
Driver 172A00000X Yes D620-8039-8956 (IL)

Frequently Asked Questions

NPI 1366186074 is the National Provider Identifier for MRS. TESSA DRAKE, a Driver provider located in Decatur, IL. This NPI was enumerated on April 27, 2022.
MRS. TESSA DRAKE practices at 698 N 33RD ST, Decatur, IL 62521.

Quick Facts

NPI
1366186074
Type
Individual
Enumerated
Apr 27, 2022
Last Updated
Apr 27, 2022

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