Individual
MRS. DENISE M CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15117 NE 79TH CIR, VANCOUVER, WA 98682-4291
(360) 852-4115
Mailing address
15117 NE 79TH CIR, VANCOUVER, WA 98682-4291
(360) 852-4115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024102
WA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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