Clay Joseph Champion, RN Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1962901793

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

1143237 (KY)

Sex

Male

Sole proprietor

No

Enumerated

2018-02-07

Last updated

2018-02-07