Individual
RACHEL VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2623 N 108TH DR, AVONDALE, AZ 85392-5806
(602) 552-9420
Mailing address
2623 N 108TH DR, AVONDALE, AZ 85392-5806
(602) 552-9420
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
B14811670
AZ
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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