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Individual

SAMANTHA NIKLAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1200 BROOKS LN STE 170, CLAIRTON, PA 15025-3759
(412) 469-7110
Mailing address
142 JOHN F KENNEDY DR, ATLANTIS, FL 33462-1159
(561) 439-1500
(561) 439-9902

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA059669
PA
363AS0400X
Surgical Physician Assistant
PA9113368
FL

Other

Enumeration date
01/16/2018
Last updated
12/14/2020
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