GRACE PARK PRUITT

TACOMA, WA
NPI1083322333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2022-11-07
Last Update Date2024-01-25
Business Address
GRACE PARK PRUITT
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-4184
Mailing Address
GRACE PARK PRUITT
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-4184