Individual
DONNA MARIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., IBCLC
Contact information
Practice address
145 RHONE STREET, FRIDAY HARBOR, WA 98250
(360) 374-4474
Mailing address
PO BOX 1836, 77 HILLTOP LANE, EASTSOUND, WA 98245-1836
(360) 376-4265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
884512
CA
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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