Individual
KAITLYN GENESIS CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3637 GREEN RD STE 3G, BEACHWOOD, OH 44122-5717
(216) 220-8774
Mailing address
5554 SUNSET LN, PARMA, OH 44134-2086
(216) 375-6670
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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