Willisha Antionette Vaughn
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1669961306
StatusActive
Last updated in NPPESMay 8, 2018
Details
- NPI
- 1669961306
- Entity type
- Individual (NPI-1)
- Name
- Willisha Antionette Vaughn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2018
- Last updated
- May 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | NV | Yes |
| 372500000X | Chore Provider | – | NV | |
| 372600000X | Adult Companion | – | NV | |
| 3747A0650X | Technician, Attendant Care Provider | – | NV | |
| 376J00000X | Homemaker | – | NV |
Practice location
1785 E Sahara Ave Ste 485Las Vegas, NV 89104-3757
Phone 025-622-3487 · Fax 702-598-0010
Mailing address
27 Beaver Ridge AveNorth Las Vegas, NV 89031-7993
Other practice locations
2110 E Flamingo Rd Ste 110
Las Vegas, NV 89119-5191
Las Vegas, NV 89119-5191
Phone 725-222-2703
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