Individual
KATHERINA DENICE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
205 PARKER ST., COOLIDGE, TX 76635
(254) 420-9439
Mailing address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 534-4684
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
180830
TX
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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