Individual
CATHY SISNEROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 W ELMORE AVE, NAMPA, ID 83651-7656
(208) 697-6664
Mailing address
1307 W ELMORE AVE, NAMPA, ID 83651-7656
(208) 697-6664
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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