Individual
MRS. ELOUISE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CHEYENNE RD, RADCLIFF, KY 40160-2280
(270) 307-2174
Mailing address
901 CHEYENNE RD, RADCLIFF, KY 40160-2280
(270) 307-2174
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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