SHEILA R MANE MD PC
Suppliers at Beverly Ave, Kingman, AZ

License number
Arizona 27651
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: DIRENDIA SHACKELFORD
Title: MANAGED CARE SPECIALIST
Phone: (800) 654-0889
Address
Address
1730 E Beverly Ave, Kingman, AZ 86409
National Provider ID: 1366512444
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SHEILA R MANE MD PC at bizstanding.com

Sheila R Mane, M.D. PC

3535 E Andy Devine Ave, Kingman, AZ 86401

Industry:
Medical Doctor's Office
Phone:
(928) 681-3944 (Phone)
Managed Care Specialists:
Sheila R. Mane (President),Direndia Shackelford (Managed Care Specialist)

SHEILA R. MANE, M.D. PC

2188 Omaha Dr, Kingman, AZ 86409

Status:
Inactive
Inactive reason:
Delinquent annual report
Registration:
Sep 10, 1999
Inactive since:
Dec 15, 2014
State ID:
-0887529-1
Expiration:
PERPETUAL
President:
Sheila R Mane (President), 2188 Omaha Dr, Kingman, AZ 86409 (Physical)
Agent:
Carl A Boham,3001 Stockton Hl Rd STE 3, Kingman, AZ 86401 (Physical)
Business type:
HEALTH CARE

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