Individual
JESSINIA MARIE FAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
W5940 SPRINGVIEW DR, NORWAY, MI 49870-2282
(906) 282-5732
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4401008073
MI
227900000X
Registered Respiratory Therapist
5378-28
WI
Other
Enumeration date
08/07/2023
Last updated
03/24/2026
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