Mr. Cory Shane Mann
Mr. Cory Shane Mann is a Homemaker in Bishop, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1360 N Main StBishop, CA 93514-3013
Phone: (760) 873-5577
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CI33360721 (CA) |
|---|---|
| Homemaker | Taxonomy 376J00000X |
Record details
| NPI number | 1699360883 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 9, 2021 |
| Last updated in NPPES | January 28, 2022 |
| Certification date | January 28, 2022 |
| Mailing address | 1360 N Main St, Bishop, CA 93514-3013 |