Individual
MRS. TERI VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
2195273102
UT
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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