Individual
CARLISA MARIE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 NEBRASKA AVE, TOLEDO, OH 43607-4155
(567) 868-8122
Mailing address
1143 NEBRASKA AVE, TOLEDO, OH 43607-4155
(567) 868-8122
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
400657640807
OH
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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