Individual
ASHLEY N SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 POPLAR DR, SOUTH ZANESVILLE, OH 43701-6322
(740) 408-6094
Mailing address
6920 ELM ST, E FULTONHAM, OH 43735
(740) 408-6094
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN116682
OH
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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