NPI 1093297400

Alisa Vaughn

Practitioner Other Technician Belleville, IL

Practice location

Address: 9601 W Main St, Belleville, IL 62223-1415
Phone: (618) 917-2251

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 012.008627 (IL)

Other Technician, Other providers in Illinois →

Registry record

NPI: 1093297400
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2018
Record last updated: 31 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.