Individual
BRANDY NOAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72ND AMDS/SGPF, 7050 AIR DEPOT BLVD, BLDG 1094, TINKER AFB, OK 73145-8102
(405) 734-6626
Mailing address
23641 PLEASANT HILL RD, BURNT CABINS, PA 17215-9437
(717) 816-5730
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
10/01/2021
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