Provider Demographics
NPI:1417592809
Name:PAYNE-DUKES, RAESHANDA (CD)
Entity Type:Individual
Prefix:PROF
First Name:RAESHANDA
Middle Name:
Last Name:PAYNE-DUKES
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8079 TUCKAWAY CT
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-9390
Mailing Address - Country:US
Mailing Address - Phone:708-253-3190
Mailing Address - Fax:
Practice Address - Street 1:8079 TUCKAWAY CT
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-9390
Practice Address - Country:US
Practice Address - Phone:708-253-3190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-09
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula