Individual
ANDREA CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HEILMAN AVE, PERRYSBURG, OH 43551-1239
(567) 336-6007
Mailing address
105 HEILMAN AVE, PERRYSBURG, OH 43551-1239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2615030
—
OH
Enumeration date
08/06/2021
Last updated
08/06/2021
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