Individual
MS. RAENALLE J DEGIDIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
14123 S WINSTON AVE, BIXBY, OK 74008-3775
(918) 366-0636
(918) 366-0636
Mailing address
14123 SO. WINSTON AVE., BIXBY, OK 74008-3775
(918) 366-0636
(918) 366-0636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0034249
OK
Other
Enumeration date
07/10/2005
Last updated
07/08/2007
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