Individual
MRS. AMANDA ELIZABETH SISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1134 CHENEY DR W, TWIN FALLS, ID 83301-1202
(208) 644-7100
Mailing address
909 STARLIGHT LOOP, TWIN FALLS, ID 83301-5181
(208) 640-9284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2030
ID
Other
Enumeration date
11/21/2012
Last updated
04/13/2018
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