Organization
MISS STEVENS FOR LINGERIE
Active
Other names
Leslie Diane Vaughn
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DIANE VAUGHN CFM (OWNER)
(310) 278-7987
Entity
Organization
Contact information
Practice address
2235 S SEPULVEDA BLVD, LOS ANGELES, CA 90064-1811
(310) 278-7987
(310) 278-2593
Mailing address
2235 S SEPULVEDA BLVD, LOS ANGELES, CA 90064-1811
(310) 278-7987
(310) 278-2593
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/21/2010
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