Individual
REGINA DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6135 SILVERBROOK W, WEST BLOOMFIELD, MI 48322-1016
(313) 289-0844
Mailing address
6135 SILVERBROOK W, WEST BLOOMFIELD, MI 48322-1016
(313) 289-0844
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114540
MI
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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