Individual
MISTY MICHELLE GILLARDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CARE COORDINATOR/CPC
Contact information
Practice address
721 FAWCETT AVE, TACOMA, WA 98402-5502
(253) 290-0464
Mailing address
3422 86TH ST S APT 28, LAKEWOOD, WA 98499-8905
(253) 590-8364
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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