Most Relevant Information
Provider Data
| NPI Number: | 1003517855 |
| Provider Name: | ANGELIKA TAPIA CHAMPAGNE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/16/2023 |
| Last Updated: | 09/10/2024 |
Provider Practice Location
505 M ST
RIO LINDA
CA
956732218
Practice Location Phone/Fax
| Phone: | 9162874067 |
| Fax: |
Provider Mailing Location
505 M ST
RIO LINDA
CA
956732218
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |