IndividualActive
Samuel Waithaka
NPI 1295515377 · Driver · Puyallup, WA
Provider details
- NPI number
- 1295515377
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- D14093C (WA)
Mailing address
5702 99th Street Ct E
Puyallup, WA 98373-1082
Registry dates
- Enumerated
- 2023-10-05
- Last updated
- 2023-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.