Individual
BETTY FALECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1225 10TH ST, PORT HURON, MI 48060-5205
(810) 987-6200
Mailing address
10152 FOLEY RD, KENOCKEE, MI 48006-3121
(810) 543-0050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704234347
MI
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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