Individual
ELANA FACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5333 MCAULEY DR RM 2110, YPSILANTI, MI 48197-1097
(734) 712-3967
Mailing address
3110 ASHTON BROOKE DR APT 6, BEAVERCREEK, OH 45431-8889
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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