Latisha Monique Gray, PA-C is a surgical physician assistant in Bridgeport, CT. Latisha Monique Gray, PA-C NPI is 1629364914. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
72 COGSWELL ST
BRIDGEPORT, CT
ZIP 06610-945
Phone: (203) 650-3451
The enumeration date for this NPI number is 6/24/2011 and was last updated on 6/24/2011.