Individual
KATHERINE R CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 PARKMAN RD NW, WARREN, OH 44485-2160
(915) 315-0185
Mailing address
1509 PARKMAN RD NW, WARREN, OH 44485-2160
(915) 315-0185
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411157
—
OH
Enumeration date
09/12/2020
Last updated
09/12/2020
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