Doctor Name: | TALIILAGI POLEKI |
NPI Number: | 1023302072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COUNSELOR |
License Number: | |
Business Practice Address: | 5300 S 3325 W Taylorsville, UT - 841183123 |
Business Phone Number: | 8017934006 |
Business Fax Number: | 8014017956 |
Mailing Address: | 5300 S 3325 W, TAYLORSVILLE |
State: | UT |
Postal Code: | 841183123 |
Phone Number: | 8017934006 |
Fax Number: | 8014017956 |
NPI Enumeration Date: | 06/07/2011 |
NPI Last Update Date: | 06/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |