Individual
GERALD ROLIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSACN
Contact information
Practice address
3715 E OVERLAND RD STE 220, MERIDIAN, ID 83642-8301
(208) 918-1832
Mailing address
371 W REDGRAVE DR, MERIDIAN, ID 83646-0012
(208) 906-8883
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
10/30/2024
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