Individual
SHANNON MICHELE PLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2395 SMOKETREE AVE N, LAKE HAVASU CITY, AZ 86403-5876
(928) 855-3066
Mailing address
2395 SMOKETREE AVE N, LAKE HAVASU CITY, AZ 86403-5876
(928) 855-3066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90-0088956
AZ
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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