Individual
HEATHER RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E AVENUE C, HEAVENER, OK 74937-2603
(918) 658-4016
Mailing address
123 E AVENUE C, HEAVENER, OK 74937-2603
(918) 658-4016
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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