Individual
MISS DIANE OLIVIA CROSS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8585 FIRSTGATE DR, REYNOLDSBURG, OH 43068
(614) 747-3516
Mailing address
8585 FIRSTGATE DR, REYNOLDSBURG, OH 43068-8567
(614) 868-8193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN344626
OH
Other
Enumeration date
12/13/2006
Last updated
09/17/2008
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