Individual
MRS. ANGELA DALE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 933-9528
(870) 933-9778
Mailing address
1001 SCHNEIDER DR, MALVERN, AR 72104-4811
(507) 332-1064
(501) 332-7054
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
726
AR
Other
Enumeration date
01/29/2007
Last updated
12/10/2019
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