Individual
MRS. JOEDY M ANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2715 PINE BREEZE DR, INTERLOCHEN, MI 49643-9786
(231) 944-2875
Mailing address
2715 PINE BREEZE DR, INTERLOCHEN, MI 49643-9786
(231) 944-2875
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L302421
MI
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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