NPI 1124561063

Pavel L Zaverukha

Practitioner Community Health Worker Meridian, ID

Practice location

Address: 4933 W Astonte St, Meridian, ID 83646-7101
Phone: (208) 392-8056

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence OTA-1036 (ID)

Other Community Health Worker providers in Idaho →

Registry record

NPI: 1124561063
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Nov 2016
Record last updated: 26 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.