SearchIdaho311ZA0620X

Eva Bolivar-Guth

NPI 1790693604 · on the registry since 2026 · sole proprietor

Practice

Address
323 S Pennant Pl
Meridian, ID 83642
Phone
(562) 256-5302

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho