PAVEL ZAVERUKHA

Community Health Worker

Active Individual
NPI: 1124561063

Practice Address

4933 W ASTONTE ST
Meridian, ID 83646

Phone: (208) 392-8056

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes OTA-1036 (ID)

Frequently Asked Questions

NPI 1124561063 is the National Provider Identifier for PAVEL ZAVERUKHA, a Community Health Worker provider located in Meridian, ID. This NPI was enumerated on November 26, 2016.
PAVEL ZAVERUKHA practices at 4933 W ASTONTE ST, Meridian, ID 83646.

Quick Facts

NPI
1124561063
Type
Individual
Enumerated
Nov 26, 2016
Last Updated
Nov 26, 2016

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