Individual
BILLIE BENNETT VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5200
Mailing address
PO BOX 496048, REDDING, CA 96049-6048
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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