Individual
JENNIFER LADUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15569 CLEVELAND AVE, ALLEN PARK, MI 48101-2010
(313) 673-5176
Mailing address
15569 CLEVELAND AVE, ALLEN PARK, MI 48101-2010
(313) 673-5176
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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