Individual
TIERRA MARIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
932 LASSER DR, NORFOLK, VA 23513-2919
(757) 615-4145
Mailing address
932 LASSER DR, NORFOLK, VA 23513-2919
(757) 615-4145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
943769
VA
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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