Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSHUA LEE BROCK
Active Sole ProprietorHealth & Wellness Coach · LOS LUNAS, NM
Registration Details
- NPI Number
- 1730767336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2021 (5.0556864898236 yrs)
- Last Updated
- May 23, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3778 TAYRIEN ST SWLOS LUNAS, NM, 870318978Browse NM providers · Browse ZIP 87031
- Phone
- 5055690069
- Primary Specialty
-
Health & Wellness Coach
171400000X
- Additional Specialty
- Health & Wellness Coach
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.