Individual
SANDRA L DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
ONE BOONE ROAD, BREMERTON, WA 98312-1898
(360) 475-4426
(360) 475-4344
Mailing address
ONE BOONE ROAD, BREMERTON, WA 98312-1898
(360) 820-5040
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
221281-3102
UT
367A00000X
Advanced Practice Midwife
Primary
RN00167760
WA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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