Individual
SANDY C CHAMPINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17625 N 55TH DR, GLENDALE, AZ 85308-3860
(623) 340-8080
Mailing address
17625 N 55TH DR, GLENDALE, AZ 85308-3860
(623) 340-8080
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
D04227488
AZ
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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