Provider Demographics
NPI:1306370911
Name:DUKES, CHERRELLE
Entity Type:Individual
Prefix:
First Name:CHERRELLE
Middle Name:
Last Name:DUKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SHERRY RD APT 1W
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-4268
Mailing Address - Country:US
Mailing Address - Phone:513-888-0790
Mailing Address - Fax:
Practice Address - Street 1:35 SHERRY RD APT 1W
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-4268
Practice Address - Country:US
Practice Address - Phone:513-888-0790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker