Individual
MRS. KATHERINE MARIE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.N
Contact information
Practice address
1000 TURK HILL RD, FAIRPORT, NY 14450-8755
(602) 799-9823
Mailing address
134 JEFFERSON AVE, FAIRPORT, NY 14450-1912
(716) 553-6878
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007787-1
NY
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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