Individual
TREAVA COLEMAN-VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 CAMP ROBINSON RD APT L169, NORTH LITTLE ROCK, AR 72118-2888
(501) 240-7961
Mailing address
6301 CAMP ROBINSON RD APT L169, NORTH LITTLE ROCK, AR 72118-2888
(501) 240-7961
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
050212020808E
AR
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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