NPI 1386802882

Judith Duncan, BSWMA

Practitioner Independent Duty Corpsman Detroit, MI

Practice location

Address: 340 W Grand Blvd, Detroit, MI 48216-1423
Phone: (313) 422-3216

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X Licence 6401006796 (MI)

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Registry record

NPI: 1386802882
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2008
Record last updated: 14 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.