Individual
DONELL HOSEA VAUGHN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 MANHATTAN BLVD, HARVEY, LA 70058-4534
(504) 600-9949
Mailing address
1122 MANHATTAN BLVD, HARVEY, LA 70058-4534
(504) 600-9949
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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