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Samuel Waithaka
NPI 1295515377 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5702 99th Street Ct E
Puyallup, WA 98373 - Phone
- (253) 434-6821
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington