person
Grace Park Pruitt
Military Health Care Provider in Tacoma, Washington
NPI 1083322333

Grace Park Pruitt is a Military Health Care Provider based in Tacoma, WA. Grace Park Pruitt practices in Tacoma, WA. The NPI Number for Grace Park Pruitt is 1083322333 and holds a License No. (Washington).

The current practice location address for Grace Park Pruitt is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-4184. You can also correspond with Grace Park Pruitt through the mailing address at 9040 JACKSON AVE, TACOMA, WA - 98431-0001 (mailing address contact number: 253-968-4184).

Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001
person
Provider Profile Details
NPI Number
1083322333
Provider Name
Grace Park Pruitt
Credential
Provider Entity Type
Individual
Gender
Female
Address
9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-4184
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-4184
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-4184
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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