Individual
ZACHARY THOMAS VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 ADAMS AVE, SCRANTON, PA 18509-1598
(570) 348-6211
Mailing address
67 SPRING ST, NUTLEY, NJ 07110-2648
(973) 986-1647
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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