Organization
YUCCA ELEMENTARY SCHOOL DISTRICT #13
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON CAVALLIERE (BUSINESS MANAGER)
(928) 766-2581
Entity
Organization
Contact information
Practice address
12261 S. 3RD STREET, KINGMAN, AZ 86438-0128
(928) 766-2581
Mailing address
PO BOX 128, YUCCA, AZ 86438-0128
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
AZ
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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