Individual
GISELLE ANNAROSE DE GUZMAN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
816 INDEPENDENCE BLVD STE 2H, VIRGINIA BEACH, VA 23455-6010
(757) 363-6850
(757) 822-6226
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007140
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/28/2018
Last updated
03/06/2026
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