Individual
DOROTHY BONNITTO GRANT-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1938 MAIN ST, STRATFORD, CT 06615-6339
(203) 864-7310
Mailing address
1938 MAIN ST, STRATFORD, CT 06615-6339
(203) 864-7310
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HCA.0001447
CT
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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