Individual
OMAR NOAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 N ROUTE 73, WEST BERLIN, NJ 08091-2500
(856) 335-4341
Mailing address
2712 GREENWOOD DR, LINDENWOLD, NJ 08021-6791
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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