Individual
KELLY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43585 MONTEREY AVE STE 8, PALM DESERT, CA 92260-9400
(760) 831-1355
Mailing address
72286 DESERT DR, RANCHO MIRAGE, CA 92270-4918
(760) 831-1355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
19056
CA
Other
Enumeration date
10/14/2015
Last updated
10/26/2015
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