NPI 1295515377

Samuel Waithaka

Practitioner Driver Puyallup, WA

Practice location

Address: 5702 99th Street CT E, Puyallup, WA 98373-1082
Phone: (253) 434-6821

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D14093C (WA)

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Registry record

NPI: 1295515377
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2023
Record last updated: 5 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.