Provider Demographics
NPI:1285214304
Name:DRAIN, ARTEYA MCGUIRE (RMA/WELLNESS COACH)
Entity Type:Individual
Prefix:
First Name:ARTEYA
Middle Name:MCGUIRE
Last Name:DRAIN
Suffix:
Gender:F
Credentials:RMA/WELLNESS COACH
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1125
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-1125
Mailing Address - Country:US
Mailing Address - Phone:662-475-8631
Mailing Address - Fax:
Practice Address - Street 1:605 HAMPTON ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:MS
Practice Address - Zip Code:38751-3010
Practice Address - Country:US
Practice Address - Phone:662-475-8631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
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