Individual
MS. RENEE LEIGH VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB
Contact information
Practice address
101 CLINTON AVE, KINGSTON, NY 12401-4917
(845) 532-8630
Mailing address
101 CLINTON AVE, KINGSTON, NY 12401-4917
(845) 532-8630
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019207
NY
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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