Individual
ANGELA I CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335
(701) 766-1600
Mailing address
PO BOX 994, DEVILS LAKE, ND 58301-0994
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L15357
ND
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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