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Mrs. Tessa Drake
Driver in Decatur, Illinois
NPI 1366186074

Tessa Drake is a Driver based in Decatur, IL. Tessa Drake practices in Decatur, IL. The NPI Number for Tessa Drake is 1366186074 and holds a License No. D620-8039-8956 (Illinois).

The current practice location address for Tessa Drake is 698 N 33Rd St, Decatur, IL and can be reached out via phone at 309-264-6898. You can also correspond with Tessa Drake through the mailing address at 698 N 33RD ST, DECATUR, IL - 62521-1606 (mailing address contact number: 309-264-6898).

Location: 698 N 33Rd St, Decatur, IL, 62521-1606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366186074
Provider Name
Tessa Drake
Credential
Provider Entity Type
Individual
Gender
Female
Address
698 N 33Rd St, Decatur, IL, 62521-1606
Phone Number
309-264-6898
Fax Number
Provider Enumeration Date
04/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
698 N 33Rd St
City
Decatur
State
Illinois
Zip
62521-1606
Phone Number
309-264-6898
Fax Number
person
Provider Business Mailing Address Details
Address
698 N 33Rd St
City
Decatur
State
Illinois
Zip
62521-1606
Phone Number
309-264-6898
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
D620-8039-8956 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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