Individual
STEPHFANIE RAQUEL LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
613 ABBOTT ST, DETROIT, MI 48226-1348
(313) 831-3160
Mailing address
613 ABBOTT ST, DETROIT, MI 48226-1348
(313) 831-3160
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011469
MI
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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