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Individual

MRS. AMY CUSHNIE VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDE

Contact information

Practice address
5875 BREMO RD STE 712, RICHMOND, VA 23226-1928
(804) 287-7256
(804) 287-7839
Mailing address
5875 BREMO RD STE 712, RICHMOND, VA 23226-1928
(804) 287-7256
(804) 287-7839

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
896049

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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