Individual
ASHLEY CHAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7954 DAGGET ST, SAN DIEGO, CA 92111-2306
(858) 300-0460
Mailing address
1865 HOTEL CIR S, SAN DIEGO, CA 92108-3319
(619) 854-1404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
01/21/2022
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