Individual
MRS. FLORENCE M CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROVEDER HEALTHCARE
Contact information
Practice address
4071 ST RT 68, LOT 36, URBANA, OH 43078
(937) 450-4514
Mailing address
4071 ST RT 68, LOT 36, URBANA, OH 43078
(937) 450-4514
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2362303
STATE PROVIDER #
OH
Enumeration date
04/16/2007
Last updated
07/08/2007
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