Individual
GENEVA TILIE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 SWEETWATER AVE, ALLIANCE, NE 69301-2668
(308) 762-5475
Mailing address
1604 SWEETWATER AVE, ALLIANCE, NE 69301-2672
(308) 762-5475
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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