Search › California › 104100000X
Demetra Vaughan
NPI 1740720762 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6075 Cone Peak Pl
Fontana, CA 92336 - Phone
- (909) 561-5180
- Fax
- (909) 452-8638
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California