Individual
SARA MAKUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
963 S ORCHARD ST, BOISE, ID 83705-1939
(208) 605-9860
Mailing address
963 S ORCHARD ST, BOISE, ID 83705-1939
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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