Individual
MR. JOSHUA LEE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3778 TAYRIEN ST SW, LOS LUNAS, NM 87031-8978
(505) 569-0069
Mailing address
3778 TAYRIEN ST SW, LOS LUNAS, NM 87031-8978
(505) 569-0069
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
04/02/2021
Last updated
05/23/2025
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