Individual
ELYA GYURDZHIYANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 FILER AVE STE D, TWIN FALLS, ID 83301-3923
(208) 734-3001
(208) 944-9293
Mailing address
560 FILER AVE STE D, TWIN FALLS, ID 83301-3923
(208) 734-3001
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
ID
376J00000X
Homemaker
—
—
Other
Enumeration date
10/13/2021
Last updated
12/06/2023
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