Individual
MS. JANELLE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1316 W 73RD ST, LOS ANGELES, CA 90044-2438
(310) 946-8073
Mailing address
1550 W MANCHESTER AVE, LOS ANGELES, CA 90047-5424
(310) 946-8073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020884
CA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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