Organization
MY DOC AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ALANE CHAMPINE RN (OWNER/OPERATOR)
(623) 980-6670
Entity
Organization
Contact information
Practice address
8633 W SHAW BUTTE DR, PEORIA, AZ 85345-8186
(623) 980-6670
Mailing address
8633 W SHAW BUTTE DR, PEORIA, AZ 85345-8186
(623) 980-6670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN161499
AZ
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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