Individual provider · Type 1 NPI

Dominique Knowles-Tuiloma

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1619512969 Active

Practice location

1000 W Bellwood Ln Ste 1
Salt Lake City, UT 84123-4494

Call (702) 857-8800 Map

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 1619512969

Dominique Knowles-Tuiloma's National Provider Identifier is 1619512969, issued on Nov 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 13, 2026.