Individual
JUDITH B. VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6440 LAGUNA MIRAGE LN, ELK GROVE, CA 95758-5463
(916) 284-1275
Mailing address
6440 LAGUNA MIRAGE LN, ELK GROVE, CA 95758-5463
(916) 284-1275
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G86938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G869380
—
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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