Individual
ELVA CHINABALIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5454 W GROVER ST APT 14, BOISE, ID 83705-6405
(208) 353-7695
Mailing address
4830 N CRESTHAVEN CIR, BOISE, ID 83704-3009
(208) 353-7695
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
ID
172V00000X
Community Health Worker
Primary
—
ID
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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