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Mary Ellen Drake

Technician, Personal Care Attendant in Clay, WV. Individual provider (NPI-1).

NPI number1689300063
StatusActive
Last updated in NPPESJul 27, 2022

Details

NPI
1689300063
Entity type
Individual (NPI-1)
Name
Mary Ellen Drake
Sex
Female
Sole proprietor
No
Enumeration date
Jul 27, 2022
Certification date
Jul 18, 2022
Last updated
Jul 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

172 Main Street
Clay, WV 25043-2504

Phone 304-587-4251

Mailing address

Po Box 455
Clay, WV 25043-0455

Phone 304-587-4251

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