Individual
MRS. BRENDA EUNICE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 MAPLE AVE, STE. #6, TAKOMA PARK, MD 20912-5571
(301) 891-2300
(301) 891-2301
Mailing address
7600 MAPLE AVE, STE. #6, TAKOMA PARK, MD 20912-5571
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0021557
MD
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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