NPI 1124740410
Gerald Roliz, MSACN
Practice location
- Address
- 3715 E Overland Rd STE 220, Meridian, ID 83642-8301
- Phone
- (208) 918-1832
- Mailing address
- 371 W Redgrave Dr, Meridian, ID 83646-0012
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1124740410
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Sep 2022
- Record last updated
- 30 Oct 2024
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.