SANDRA KASUMOVIC

BOISE, ID
NPI1780009506
Other NameSANA KASUMOVIC
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA1136)
Additional Taxonomies363A00000X Physician Assistant
(Licence: ID  PA1136)
363AS0400X Physician Assistant, Surgical
(Licence: ID  PA1136)
Enumeration Date2014-03-03
Last Update Date2021-08-26
Business Address
SANDRA KASUMOVIC PA-C
3271 N MILWAUKEE ST
BOISE, ID 83704-4425
Phone number: 208-996-1700
Mailing Address
SANDRA KASUMOVIC PA-C
2716 SYRINGA LN
CALDWELL, ID 83605-3052
Phone number: 208-850-5111