Individual
MS. SUGAR RAE DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10717 DREXEL AVE, CLEVELAND, OH 44108-3606
(216) 647-5547
Mailing address
10717 DREXEL AVE, CLEVELAND, OH 44108-3606
(216) 647-5547
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RS882593
OH
Other
Enumeration date
07/12/2024
Last updated
07/16/2024
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