Search › Arizona › 374J00000X
Sandy Champine
NPI 1184984783 · on the registry since 2012 · sole proprietor
Practice
- Address
- 17625 N 55th Dr
Glendale, AZ 85308 - Phone
- (623) 340-8080
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona