Individual
KATRINA LORRAINE GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1625 STRAITS TPKE STE 307, MIDDLEBURY, CT 06762-1836
(203) 758-8995
Mailing address
547 PINNACLE CT, GRAND JUNCTION, CO 81507-1430
(970) 260-3065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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