Individual
JEANETTE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W TENTH ST, CARSON CITY, NV 89703-5201
(775) 883-4664
Mailing address
111 W TENTH ST, CARSON CITY, NV 89703-5201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1147
NV
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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