Individual
JEFFREY N/A DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, SRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2522
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2522
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9537245
FL
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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