Individual
DANIELLE CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-4401
Mailing address
7103 NAVAJO RD APT 2205, SAN DIEGO, CA 92119-4601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
752891
CA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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