MARK RANDOLPH JULARBAL

WINSTON SALEM, NC
NPI1720547771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5011595)
Enumeration Date2019-03-19
Last Update Date2020-06-23
Business Address
MARK RANDOLPH JULARBAL NP
131 MILLER ST
WINSTON SALEM, NC 27103-2508
Phone number: 336-716-8094
Mailing Address
MARK RANDOLPH JULARBAL NP
13944 PINYON PINE LN
CHARLOTTE, NC 28215-7151
Phone number: 704-502-8590