Individual
JEANNIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 CLAREMONT CIR, LAFAYETTE, LA 70508-7300
(337) 412-4155
Mailing address
2802 DANI LEE DR, MAURICE, LA 70555-3378
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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