SUSAN SANSOM

MERIDIAN, ID
NPI1538611397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  54528)
Enumeration Date2016-10-27
Last Update Date2016-10-27
Business Address
-- SUSAN SANSOM CNP
360 E MONTVUE DR STE 100
MERIDIAN, ID 83642-6318
Phone number: 208-855-2900
Mailing Address
-- SUSAN SANSOM CNP
360 E MONTVUE DR STE 100
MERIDIAN, ID 83642-6318
Phone number: 208-855-2900
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