NPI 1386334456

Peterson Wambuu

Practitioner Driver Des Moines, IA

Practice location

Address: 2323 Bennett Ave, Des Moines, IA 50310-6112
Phone: (515) 344-3153

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1386334456
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2023
Record last updated: 11 May 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.