IndividualActive
Grace Mammarella
NPI 1861148694 · Military Health Care Provider · Tacoma, WA
Provider details
- NPI number
- 1861148694
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Allopathic & Osteopathic Physicians
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-1440
Approximate (ZIP-level) locationGet directions
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.