Individual
JENNIFER HOEKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1900 MAYBERRY ST SE, GRAND RAPIDS, MI 49508-1525
(616) 634-2405
Mailing address
1900 MAYBERRY ST SE, GRAND RAPIDS, MI 49508-1525
(616) 634-2405
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
312802
MI
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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