SearchRhode Island183500000X

Miatta Gray

NPI 1023410644 · on the registry since 2014

Practice

Address
655 Warren Ave
E Providence, RI 02914
Phone
(617) 596-7053
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island