Individual
SYDNEY GENEVA ANGLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 SOUTH SILVER BOW AVENUE, EAGLE, ID 83616
(208) 449-8913
Mailing address
427 SOUTH SILVER BOW AVENUE, EAGLE, ID 83616
(208) 449-8913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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