| NPI | 1467580423 |
|---|---|
| Doing Business As | LESLIE DIANE VAUGHN |
| Entity Type | Organization |
| Authorized Contact | LESLIE DIANE VAUGHN Owner 310-278-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-07-21 |