Alisa Vaughn
Alisa Vaughn is an Other Technician in Belleville, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
9601 W Main StBelleville, IL 62223-1415
Phone: (618) 917-2251
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence 012.008627 (IL) |
|---|
Record details
| NPI number | 1093297400 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2018 |
| Last updated in NPPES | August 31, 2018 |
| Mailing address | 9601 W Main St, Belleville, IL 62223-1415 |