Individual
RONECHA VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3759 N 45TH ST, OMAHA, NE 68104-3624
(402) 507-0011
Mailing address
3171 LARIMORE AVE, OMAHA, NE 68111-2359
(402) 507-0011
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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