Individual
DOMINIC DOUGLAS TARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, IP
Contact information
Practice address
5315 CRIMSON AVE, CALDWELL, ID 83607-1731
(208) 813-4986
Mailing address
5315 CRIMSON AVE, CALDWELL, ID 83607-1731
(208) 813-4986
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
ID
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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