Individual
SANDRA KASUMOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2716 SYRINGA LN, CALDWELL, ID 83605-3052
(208) 477-1223
Mailing address
3 MAKIN LN, SUCCASUNNA, NJ 07876-1111
(208) 850-5111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
PA1136
ID
363AM0700X
Medical Physician Assistant
Primary
PA1136
ID
363AS0400X
Surgical Physician Assistant
PA1136
ID
Other
Enumeration date
03/03/2014
Last updated
03/15/2026
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