Individual
MRS. MELISSA DARLINE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5015 VANCE DR, ANCHORAGE, AK 99508-5652
(804) 986-6557
Mailing address
5015 VANCE DR, ANCHORAGE, AK 99508-5652
(804) 986-6557
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002066669
VA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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