Individual
MS. KRISTEN MARIE VELLA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7715
Mailing address
32 FIELDSTONE DR, STONEHAM, MA 02180-1945
(781) 248-4606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3838
MA
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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