Organization
PRACTICAL PCOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARIAH WILSON MS, RD, LD (OWNER)
(801) 857-0390
Entity
Organization
Contact information
Practice address
6040 S CHINOOK WAY, BOISE, ID 83709-1378
(208) 353-6277
(208) 442-9351
Mailing address
9169 W STATE ST # 706, GARDEN CITY, ID 83714-1733
(208) 353-6277
(208) 442-9351
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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