Most Relevant Information
Provider Data
NPI Number: | 1003311663 |
Provider Name: | CHRYSTAL VAUGHN |
Entity Type: | Individual |
Taxonomy Code: | 164W00000X |
Specialty: | Licensed Practical Nurse |
License Number: | 167615 |
Most Important Dates
Enumeration Date: | 03/27/2018 |
Last Updated: | 03/27/2018 |
Provider Practice Location
854 VALDES AVE
AKRON
OH
443201762
Practice Location Phone/Fax
Phone: | 3303522493 |
Fax: |
Provider Mailing Location
854 VALDES AVE
AKRON
OH
443201762
Provider Mailing Phone/Fax
Phone: | 3303522493 |
Fax: |