Individual
JENA CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31200 SCHOENHERR RD, WARREN, MI 48088-7048
(586) 238-4570
Mailing address
2204 GUTHRIE AVE, ROYAL OAK, MI 48067-3527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021913
CO
183500000X
Pharmacist
5302046933
MI
Other
Enumeration date
08/21/2017
Last updated
11/26/2019
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