DOMINIQUE TARDIF

BOISE, ID
NPI1821462987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MASG-775)
Enumeration Date2015-11-30
Last Update Date2020-10-21
Business Address
DOMINIQUE TARDIF LMT
413 W IDAHO ST STE 202
BOISE, ID 83702-6065
Phone number: 208-781-0452
Mailing Address
DOMINIQUE TARDIF LMT
413 W IDAHO ST STE 202
BOISE, ID 83702-6065
Phone number: 208-781-0452