Individual
DANIELLE MAE GROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(877) 558-6248
Mailing address
8724 CROSSWAY CT UNIT 39, SANTEE, CA 92071-3474
(619) 573-5686
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95027784
CA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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