Individual
TATYANA CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 ELMWOOD DR, GASTONIA, NC 28054-6052
(704) 835-5506
Mailing address
1945 ELMWOOD DR, GASTONIA, NC 28054-6052
(704) 835-5506
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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