Individual
PROF. VAUGHN OSMUND NIXON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NEUROMUSCULAR THERAP
Contact information
Practice address
110 SUMMERRAIN DR, S SAN FRAN, CA 94080-3281
(650) 219-1393
Mailing address
116 MANOR DR STE E, PACIFICA, CA 94044-1958
(650) 219-1393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75807
CA
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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