Individual
NICOLE ELISE DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3970 W 24TH ST STE 108, YUMA, AZ 85364-9257
(928) 783-0555
Mailing address
19170 INDIANA ST, DETROIT, MI 48221-3206
(313) 721-4907
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502005255
MI
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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