Individual
MS. BRANDI L VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 GARFIELD ST, YOUNGSTOWN, OH 44502-1631
(330) 398-4405
Mailing address
416 GARFIELD ST, YOUNGSTOWN, OH 44502-1631
(330) 398-4405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111875
—
OH
Enumeration date
03/18/2020
Last updated
03/18/2020
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