Etoya Vaughn

NPI 1528771219 · on the registry since 2022 · sole proprietor

Practice

Address: 112 Market St Ste 2
Lynn, MA 01901
Phone: (781) 592-5691
Fax: (781) 595-1081
Organisation at this address: Childrens Friend And Families
Commonwealth Of Massachusetts
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 145

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts