Individual
ALTAIR SASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSTFA
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2663
Mailing address
194 W ANTON ST, MERIDIAN, ID 83646-1962
(239) 405-0277
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
02/06/2024
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