Individual
JULIE FECKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 TWIN LAKE RD, SOMERSET, PA 15501-7727
(814) 443-3639
Mailing address
224 TWIN LAKE RD, SOMERSET, PA 15501-7727
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN590432
PA
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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