Individual
HOLLY HARRIS DEGRUTTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3198 PACIFIC AVE STE 104, VIRGINIA BEACH, VA 23451-2949
(757) 428-1911
Mailing address
3617 PRINCE ANDREW LN, VIRGINIA BEACH, VA 23452-4534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001299220
VA
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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