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.
Location: 698 N 33Rd St, Decatur, IL, 62521-1606
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
Provider Business Practice Location Address Details
Address
698 N 33Rd St
City
State
Zip
62521-1606
Phone Number
309-264-6898
Fax Number
Provider Business Mailing Address Details
Address
698 N 33Rd St
City
State
Zip
62521-1606
Phone Number
309-264-6898
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
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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