Individual
JOLIETTE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W5186 COUNTY ROAD 360, DAGGETT, MI 49821-8821
(906) 786-3311
Mailing address
W5186 COUNTY ROAD 360, DAGGETT, MI 49821-8821
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4704344453
MI
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
NQGDMGUNDQ
MI
Other
Enumeration date
06/16/2026
Last updated
06/29/2026
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