Individual
MS. LUCITA MANHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
HIGHWAY 98 & NAVAJO ROUTE 16, SHONTO, AZ 86054
(928) 614-8079
Mailing address
HIGHWAY 98 & NAVAJO RTE. 16, TONALEA, AZ 86044
(928) 614-8079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN126233
AZ
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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