SASHA MUSSO

BOISE, ID
NPI1801256532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1851)
Enumeration Date2016-02-23
Last Update Date2022-11-15
Business Address
SASHA MUSSO PA
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
Mailing Address
SASHA MUSSO PA
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431