Individual
CA'CY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6935 MONCLOVA RD, MAUMEE, OH 43537-9353
(419) 866-3030
Mailing address
112 W COLONY DR, WATERVILLE, OH 43566-8725
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
RN.472124
OH
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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