Individual
EVELYN GRACE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(248) 817-7777
Mailing address
13061 LINDA VISTA ST, VAN BUREN TOWNSHIP, MI 48111-2277
(313) 629-2079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704122217
MI
Other
Enumeration date
04/24/2007
Last updated
01/24/2024
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