Individual provider · Type 1 NPI
Clarissa Vaughn
Student in an Organized Health Care Education/Training Program · Phoenix, AZ
NPI number
1346718293
Active
Practice location
9201 W Thomas Rd
Phoenix, AZ 85037-3332
Mailing address
11626 Sweet Pea Run
San Antonio, TX 78245-2462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | I013052 (AZ) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Trevin Reyes, MDStudent in an Organized Health Care Education/Training Program Phoenix, AZ NPI 1003743725
About NPI 1346718293
Clarissa Vaughn's National Provider Identifier is 1346718293, issued on Nov 8, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 8, 2018.