Individual
LA JUANA MONIQUE PRINCE-VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WASHINGTON AVE S STE 90, MINNEAPOLIS, MN 55401-2110
(408) 289-2111
Mailing address
100 WASHINGTON AVE S STE 90, MINNEAPOLIS, MN 55401-2110
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
03/25/2022
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