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PRACTICAL PCOS LLC

Organization (NPI-2) Active

Dietitian, Registered

Provider Information

NPI Number
1982565503
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
6040 S CHINOOK WAY, BOISE, ID, 837091378
Phone
(208) 353-6277
Fax
(208) 442-9351

Specialties & Taxonomies

Dietitian, Registered Primary

All Addresses

LOCATION

6040 S CHINOOK WAY

BOISE, ID, 837091378

(208) 353-6277

MAILING

9169 W STATE ST # 706

GARDEN CITY, ID, 837141733

(208) 353-6277