Individual
SHEILA R MANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 E ANDY DEVINE AVE, KINGMAN, AZ 86401-3412
(928) 681-3960
(928) 692-0067
Mailing address
3535 E ANDY DEVINE AVE, KINGMAN, AZ 86401-3412
(928) 681-3960
(928) 692-0067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27651
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474742
—
AZ
Enumeration date
07/22/2006
Last updated
10/21/2011
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