Individual
SALLY ANN CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLIN LAB SCIENTIST
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
ASCP #134302
CA
246QM0706X
Medical Technologist
Primary
MTA28294
CA
246QM0900X
Microbiology Specialist/Technologist
ASCP #1587
CA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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