Individual
GRACIE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
24229 EL PILAR, LAGUNA NIGUEL, CA 92677-3505
(949) 600-0711
Mailing address
24229 EL PILAR, LAGUNA NIGUEL, CA 92677-3505
(949) 600-0711
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN236696
CA
Other
Enumeration date
12/23/2012
Last updated
12/23/2012
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