Ruffin Polk, Jennie Petural

Ruffin Polk, Jennie Petural is an individual health care provider with primary practice located at Department Of Preventive Medicine Wamc Stop A 2817 Reilly Rd. Mcxc-Dpm, Fort Bragg NC 28310-7301. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Ruffin Polk, Jennie Petural can be contacted via phone (910) 396-7410.

Contact Information

Primary practice address
Department Of Preventive Medicine Wamc Stop A 2817 Reilly Rd. Mcxc-Dpm Fort Bragg NC 28310-7301
Phone: (910) 396-7410
Fax: (910) 396-8196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN085179 Louisiana

Profile Details

NPI number 1730352311
LBN Legal business name Ruffin Polk, Jennie Petural
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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