Organization
CHAMPION'S COACHING PATIENT SUPPORT AND COMPLIANCE CENTER LLC
Active
Other names
Champion's Coaching
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIDRA C HALL (OWNER/CERTIFIED COACH)
(414) 502-9090
Entity
Organization
Contact information
Practice address
6520 W MOLTKE AVE, MILWAUKEE, WI 53210-1316
(414) 502-9090
(414) 395-3947
Mailing address
6520 W MOLTKE AVE, MILWAUKEE, WI 53210-1316
(414) 502-9090
(414) 395-3947
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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