Individual
JESSICA RUNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MATRG, ATC
Contact information
Practice address
101 3RD AVE SW, TRINITY HEALTH WEST, MINOT, ND 58701-3880
(701) 857-5000
Mailing address
1439 2ND ST SE, MINOT, ND 58701
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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