Provider Demographics
NPI:1477729135
Name:CROSS, JANEY L (RD)
Entity Type:Individual
Prefix:
First Name:JANEY
Middle Name:L
Last Name:CROSS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JANEY
Other - Middle Name:
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:2374 MISSION INN AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-4201
Mailing Address - Country:US
Mailing Address - Phone:425-273-4205
Mailing Address - Fax:
Practice Address - Street 1:4445 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-4135
Practice Address - Country:US
Practice Address - Phone:951-788-3123
Practice Address - Fax:951-788-3124
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered