Individual
SANDI JO CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1117 48TH AVE N, MYRTLE BEACH, SC 29577-5442
(843) 907-5577
Mailing address
4711 PASO ROBLES CT, SPARKS, NV 89436-1647
(775) 225-7691
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
274832
SC
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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