Individual
MR. SHARICE BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PERSONAL TRAINER
Contact information
Practice address
602 616 SALEM AVE, ELIZABETH, NJ 07208
(347) 254-8232
Mailing address
80 ROXBURY ST APT 2C, STATEN ISLAND, NY 10303-1915
(347) 254-8232
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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