Individual
JASON CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 W 4TH ST, NEWTON FALLS, OH 44444-1542
(330) 931-9657
Mailing address
233 E BROAD ST, NEWTON FALLS, OH 44444-1775
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
347C00000X
Private Vehicle
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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