Derrick Lee Vaughn
Derrick Lee Vaughn is a Home Health Aide in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
209 Division Ave S Apt 107Grand Rapids, MI 49503-4547
Phone: (313) 974-9107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1770259459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2021 |
| Last updated in NPPES | August 21, 2021 |
| Certification date | August 21, 2021 |
| Mailing address | 922 Ogden Ave Se, Grand Rapids, MI 49506-3561 |
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