Individual
SAMANTHA NYKOL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 W BROADWAY ST, SOUTH LEBANON, OH 45065-1205
(513) 850-8119
Mailing address
35 W BROADWAY ST, SOUTH LEBANON, OH 45065-1205
(513) 850-8119
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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