Individual
AUTUMN BETH VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P., DIP. O.M.
Contact information
Practice address
8777 SAN JOSE BLVD STE 701, JACKSONVILLE, FL 32217-4292
(352) 665-8884
Mailing address
5418 STETSON RD, JACKSONVILLE, FL 32207-7860
(352) 665-8884
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3654
FL
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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