Individual
ELIJAH CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8650 MARTIN WAY E STE 207, LACEY, WA 98516-6610
(360) 951-4504
Mailing address
8650 MARTIN WAY E STE 207, LACEY, WA 98516-6610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61648976
WA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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