Individual
MR. STEPHANE C CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
775 BRIDGEPORT AVE APT 306, STREETSBORO, OH 44241-4058
(216) 278-5131
Mailing address
775 BRIDGEPORT AVE APT 306, STREETSBORO, OH 44241-4058
(216) 278-5131
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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