Individual
EMILY J FACCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1266 E SHERMAN BLVD, MUSKEGON, MI 49444-1847
(231) 739-9009
Mailing address
1245 MADISON AVE # 33, MEMPHIS, TN 38104-2211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005809
MI
Other
Enumeration date
02/13/2024
Last updated
07/25/2024
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