Individual
JAMES VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
313 KENDAL ST STE B, VACAVILLE, CA 95688-3960
(707) 474-7475
Mailing address
PO BOX 996, PACIFIC GROVE, CA 93950-0996
(707) 474-7475
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
Primary
—
—
225700000X
Massage Therapist
5161
CA
Other
Enumeration date
06/15/2009
Last updated
12/02/2022
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