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Ryan Lee Simmons

Adult Companion in Fairfield, OH. Individual provider (NPI-1).

NPI number1093565327
StatusActive
Last updated in NPPESJan 14, 2025

Details

NPI
1093565327
Entity type
Individual (NPI-1)
Name
Ryan Lee Simmons
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 27, 2024
Certification date
Jan 14, 2025
Last updated
Jan 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companionru262028OHYes

Practice location

93 Brittany Ln
Fairfield, OH 45014-5273

Phone 513-503-8315

Mailing address

11234 Albion Aly
Springdale, OH 45246-3782

Phone 513-503-8315

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