Individual
CHANEL DIANE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2077 EASTHAVEN DR, COLUMBUS, OH 43232-3811
(919) 862-4292
Mailing address
3717 E JAMESON RD, RALEIGH, NC 27604-3979
(919) 862-4292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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