SearchTexas363AS0400X

Gwendolyn Champion, LSA

NPI 1407241300 · on the registry since 2015 · sole proprietor

Practice

Address
4026 E Teal Estates Cir
Fresno, TX 77545
Phone
(510) 984-8610
Organisation at this address
Phenomsurgical Assisting
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Sex
Female
Record last updated
2020-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas