Individual
OLIVIA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5719 NW 13TH ST, GAINESVILLE, FL 32653-2130
(904) 966-1074
Mailing address
5719 NW 13TH ST, GAINESVILLE, FL 32653-2130
(904) 966-1074
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
24R-706
—
376K00000X
Nurse's Aide
24R-250
—
Other
Enumeration date
04/15/2024
Last updated
05/13/2024
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