Individual
RICHARD PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(940) 224-1004
Mailing address
731 ROSECROFT CT, FOREST HILL, MD 21050-3188
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
903622
TX
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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