IndividualActive
Gerald Roliz, MSACN
NPI 1124740410 · Nutritionist · Meridian, ID
Provider details
- NPI number
- 1124740410
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- MSACN
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3715 E Overland Rd Ste 220
Meridian, ID 83642-8301
Phone: (208) 918-1832
Approximate (ZIP-level) locationGet directions
Mailing address
371 W Redgrave Dr
Meridian, ID 83646-0012
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.