Individual
CHRISTOPHER VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 N 7TH ST APT B, COLTON, CA 92324-2467
(909) 454-2724
Mailing address
1113 N 7TH ST APT B, COLTON, CA 92324-2467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
31810
CA
Other
Enumeration date
10/16/2020
Last updated
10/21/2020
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