Individual
SARA ELIZABETH WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, RD
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 883-6341
Mailing address
402 W 6TH ST APT 202, MOSCOW, ID 83843-2313
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3071253
ID
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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