Individual
MS. SHONDA VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4224 CHIPPENDALE AVE, PHILADELPHIA, PA 19136-3604
(267) 978-1740
Mailing address
4224 CHIPPENDALE AVE, PHILADELPHIA, PA 19136-3604
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
PA
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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