| NPI | 1417843749 |
|---|---|
| Doing Business As | REGENVIVE WOUND CARE PROVIDERS, STC |
| Entity Type | Organization |
| Authorized Contact | HEIDI HAGMAN Medical Director 661-221-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |