CLAY JOSEPH CHAMPION

GALLUP, NM
NPI1962901793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: KY  1143237)
Enumeration Date2018-02-07
Last Update Date2018-02-07
Business Address
CLAY JOSEPH CHAMPION RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
CLAY JOSEPH CHAMPION RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000