Individual
DOMINIC TARLISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
14819 BOWIE RD APT 202, LAUREL, MD 20708-1034
(202) 545-0935
Mailing address
7905 SPRINGRIDGE RD, GLEN BURNIE, MD 21060-8343
(240) 432-9083
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/29/2012
Last updated
03/12/2024
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