Individual
SHARON S GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
65 KANE ST, GENETICS, WEST HARTFORD, CT 06119-2110
(860) 523-6464
(860) 523-6465
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000771
CT
Other
Enumeration date
07/26/2007
Last updated
07/05/2012
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