Individual
DORA E VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
4535 MISSOURI FLAT RD, 2F, PLACERVILLE, CA 95667-6846
(530) 306-5834
Mailing address
2501 COUNTRYSIDE DR, PLACERVILLE, CA 95667-7701
(530) 306-5834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
31167
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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