Mammarella, Grace Elizabeth

Mammarella, Grace Elizabeth is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-0001. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Other Service Providers / Military Health Care Provider is her primary health care specialty. Mammarella, Grace Elizabeth can be contacted via phone (253) 968-1440.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-0001
Phone: (253) 968-1440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101280214 Virginia

Profile Details

NPI number 1861148694
LBN Legal business name Mammarella, Grace Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2022
Last updated Dec 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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