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Derrick Lee Vaughn
Home Health Aide in Grand Rapids, Michigan
NPI 1770259459

Derrick Lee Vaughn is a Home Health Aide based in Grand Rapids, MI. Derrick Lee Vaughn practices in Grand Rapids, MI. The NPI Number for Derrick Lee Vaughn is 1770259459 and holds a License No. (Michigan).

The current practice location address for Derrick Lee Vaughn is 209 Division Ave S Apt 107, Grand Rapids, MI and can be reached out via phone at 313-974-9107.

Location: 209 Division Ave S Apt 107, Grand Rapids, MI, 49506-3561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770259459
Provider Name
Derrick Lee Vaughn
Credential
Provider Entity Type
Individual
Gender
Male
Address
209 Division Ave S Apt 107, Grand Rapids, MI, 49506-3561
Phone Number
313-974-9107
Fax Number
Provider Enumeration Date
08/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 Division Ave S Apt 107
City
Grand Rapids
State
Michigan
Zip
49503-4547
Phone Number
313-974-9107
Fax Number
person
Provider Business Mailing Address Details
Address
209 Division Ave S Apt 107
City
Grand Rapids
State
Michigan
Zip
49503-4547
Phone Number
313-974-9107
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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