Individual
KYRA EMONEE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 MONTREAL CIR, TUCKER, GA 30084-6802
(866) 709-0772
Mailing address
3220 LANDGRAF CLOSE, DECATUR, GA 30034-4777
(470) 312-0214
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/16/2023
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