NPI | 1639889207 |
---|---|
Former Legal Business Name | JENNIFER VAUGHN LMT |
Entity Type | Organization |
Authorized Contact | JENNIFER R VAUGHN Owner/Therapist 541-930-2445 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist |
Enumeration Date | 2022-12-05 |
Last Update Date | 2022-12-05 |