Individual
THISBE COSETTE SAHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 S LOGGERS POND PL APT 23, BOISE, ID 83706-7501
(302) 242-1263
Mailing address
1614 S LOGGERS POND PL APT 23, BOISE, ID 83706-7501
(302) 242-1263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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