Grace Elizabeth Mammarella - Tacoma, WA

Grace Elizabeth Mammarella

General Practice Physician in Tacoma, Washington

NPI 1861148694

Grace Elizabeth Mammarella is a General Practice Physician based in Tacoma, WA. Grace Elizabeth Mammarella practices in Tacoma, WA. The NPI Number for Grace Elizabeth Mammarella is 1861148694 and holds a License No. (Washington).

The current practice location address for Grace Elizabeth Mammarella is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-1440.

Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001

NPI Number

1861148694

Provider Name

Grace Elizabeth Mammarella

Credential

Provider Entity Type

Individual

Gender

Female

Address

9040 Jackson Ave, Tacoma, WA, 98431-0001

Phone Number

253-968-1440

Fax Number

Provider Enumeration Date

03/02/2022

Last Update Date

03/10/2024

Address

9040 Jackson Ave

City

Tacoma

State

Washington

Zip

98431-0001

Phone Number

253-968-1440

Fax Number

Address

9040 Jackson Ave

City

Tacoma

State

Washington

Zip

98431-0001

Phone Number

253-968-1440

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

0101280214 (Virginia)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Type

Allopathic & Osteopathic Physicians

Classification

General Practice

Speciality

Taxonomy

208D00000X

License No.

()

Definition

Definition to come...

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