Individual provider · Type 1 NPI
Alisa Vaughn
Other Technician · Belleville, IL
NPI number
1093297400
Active
Practice location
9601 W Main St
Belleville, IL 62223-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | 012.008627 (IL) |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
About NPI 1093297400
Alisa Vaughn's National Provider Identifier is 1093297400, issued on Aug 31, 2018. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Belleville, IL. The record was last updated on Aug 31, 2018.