Individual
MS. ANGELA JANE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
306 BASIN ST NW, EPHRATA, WA 98823-1628
(509) 289-9588
Mailing address
18756 ROAD 5 NW, QUINCY, WA 98848-9505
(509) 289-9588
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00021506
WA
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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