Individual
MARISSA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRA, RPA
Contact information
Practice address
400 ASHVILLE AVE, STE 330, CARY, NC 27518-6134
(919) 371-2371
Mailing address
400 ASHVILLE AVE, STE 330, CARY, NC 27518-6134
(919) 371-2371
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
16RRANC1002
NC
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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