Individual
MRS. KENDAL MARIE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RN
Contact information
Practice address
2475 E NINE MILE RD STE E, PENSACOLA, FL 32514-7796
(850) 390-6896
Mailing address
32835A MAGNOLIA FARMS RD, ROBERTSDALE, AL 36567-9373
(850) 390-6896
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
9341464
FL
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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