Individual
ALLYSSA FAULKNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
13199 DEMPSEY RD, SAINT CHARLES, MI 48655-9703
(989) 213-6511
Mailing address
13199 DEMPSEY RD, SAINT CHARLES, MI 48655-9703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704364417
MI
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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