Individual
SARIAH E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6040 S CHINOOK WAY, BOISE, ID 83709-1378
(801) 857-0390
Mailing address
6040 S CHINOOK WAY, BOISE, ID 83709-1378
(801) 857-0390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1296
ID
Other
Enumeration date
12/30/2021
Last updated
04/17/2025
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