Individual
EMMA S CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1794 W 48TH ST, CLEVELAND, OH 44102-3416
(561) 346-0014
Mailing address
1794 W 48TH ST, CLEVELAND, OH 44102-3416
(561) 346-0014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1187107
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2021
Last updated
06/14/2021
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