Search › Connecticut › 363AS0400X
Latisha Gray, PA-C
NPI 1629364914 · on the registry since 2011
Practice
- Address
- 72 Cogswell St
Bridgeport, CT 06610 - Phone
- (203) 650-3451
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-06-24
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 Connecticut