Individual
ANDREA ZAMBUKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3324 ELDER ST., BOISE, ID 83705
(208) 333-0008
Mailing address
3324 ELDER ST., BOISE, ID 83705
(208) 333-0008
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SE-203886
ID
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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