Corbett Sousa
Corbett Sousa is a Point of Service in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
Practice location Address checks out
16 12th Ave S Ste 208Nampa, ID 83651-3937
Phone: (208) 649-6048
Fax: (208) 906-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence 37239 (ID) |
|---|
Record details
| NPI number | 1417442484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katy Simmons — Credentialing/Billing · (208) 452-6580 |
| Other names | Achieving Family Wellness Llc |
| NPI enumerated | June 22, 2018 |
| Last updated in NPPES | June 22, 2018 |
| Mailing address | 16 12th Ave S Ste 208, Nampa, ID 83651-3937 |