Individual
RAINA MACY WRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
129 E MAIN ST, HULBERT, OK 74441-8901
(918) 708-3602
Mailing address
129 E MAIN ST, HULBERT, OK 74441-8901
(918) 708-3602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5130
OK
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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