Individual
SAMANTHA J TICCHI-JUNKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2109 HUGHES DR, 220, TOLEDO, OH 43606-3856
(419) 291-5150
(419) 479-6173
Mailing address
2109 HUGHES DR, 220, TOLEDO, OH 43606-3856
(419) 291-5150
(419) 479-6173
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50-003056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074294
—
OH
Enumeration date
05/19/2010
Last updated
11/03/2023
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