Individual
RIKKINA PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER BLUE TEAM, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8897
(301) 677-8299
Mailing address
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER BLUE TEAM, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8897
(301) 677-8299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1079812
KY
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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