Regenna Craig

NPI #1982268090 in Wagoner, Oklahoma

Provider Information

NPI Number: 1982268090
Entity Type: Individual
Name: Regenna Craig
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 24, 2019
Last Updated: Apr 24, 2019

Practice Location

Address: 109 S HARRILL AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5317
Phone: (918) 485-0242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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