Individual provider · Type 1 NPI

Tyriel Jacole Dominick

Student in an Organized Health Care Education/Training Program · Auburn, WA

NPI number 1609437367 Active

Practice location

4238 Auburn Way N
Auburn, WA 98002-1311

Call (253) 876-7600 Map

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609437367

Tyriel Jacole Dominick's National Provider Identifier is 1609437367, issued on Jun 24, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Auburn, WA. The record was last updated on Jun 24, 2019.