Jeremiah Jordan Decasteele
NPI #1508636366 in Groton, Connecticut
Provider Information
- NPI Number
- 1508636366
- Entity Type
- Individual
- Name
- Jeremiah Jordan Decasteele
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Jan 3, 2024
- Last Updated
- Jan 3, 2024
Practice Location
- Address
- 63 OHIO AVE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-6106
- Phone
- (631) 992-0705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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