SANDRA KASUMOVIC

CALDWELL, ID
NPI1780009506
Other NameSANA KASUMOVIC
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA1136)
Additional Taxonomies101YM0800X Counselor, Mental Health
363A00000X Physician Assistant
(Licence: ID  PA1136)
Enumeration Date2014-03-03
Last Update Date2026-03-15
Business Address
SANDRA KASUMOVIC PA-C
2716 SYRINGA LN
CALDWELL, ID 83605-3052
Phone number: 208-477-1223
Mailing Address
SANDRA KASUMOVIC PA-C
3 MAKIN LN
SUCCASUNNA, NJ 07876-1111
Phone number: 208-850-5111