Individual
JESSICA JORINE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
235 S PALISADE DR, SANTA MARIA, CA 93454-5948
(805) 739-3561
(805) 739-3560
Mailing address
235 S PALISADE DR, SANTA MARIA, CA 93454-5948
(805) 739-3561
(805) 739-3560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A16893
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2017
Last updated
11/08/2023
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