Provider Demographics
NPI:1265220594
Name:ANDREWS, DRAQUE JORDAN SR
Entity type:Individual
Prefix:
First Name:DRAQUE
Middle Name:JORDAN
Last Name:ANDREWS
Suffix:SR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 WHEELER RD SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-6035
Mailing Address - Country:US
Mailing Address - Phone:202-425-4764
Mailing Address - Fax:
Practice Address - Street 1:4221 WHEELER RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-6035
Practice Address - Country:US
Practice Address - Phone:202-425-4764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator