Individual
JESSICA FAYE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12637 LOVINGS RD, HEAVENER, OK 74937-9132
(918) 413-2254
Mailing address
12637 LOVINGS RD, HEAVENER, OK 74937-9132
(918) 413-2254
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/18/2013
Last updated
04/06/2022
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