Individual provider · Type 1 NPI

Samuel Raeyu Yacob, N/A

Driver · Phoenix, AZ

NPI number 1225882178 Active

Practice location

2524 W Elm St
Phoenix, AZ 85017-3639

Call (480) 227-2603 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XD09767801 (AZ)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1225882178

Samuel Raeyu Yacob, N/A's National Provider Identifier is 1225882178, issued on Apr 16, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 16, 2024.