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Dominique Tardif, LMT
NPI 1821462987 · on the registry since 2015 · sole proprietor
Practice
- Address
- 413 W Idaho St Ste 202
Boise, ID 83702 - Phone
- (208) 781-0452
- Organisation at this address
- Tanta Inc
Safe Connections, Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho