Individual
SAMANTHA JO KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 626-2935
Mailing address
6908 NICOLLET AVE, RICHFIELD, MN 55423-2407
(715) 410-2639
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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