Mr. Samuel Jackson Waites
Mr. Samuel Jackson Waites is a Case Manager/Care Coordinator in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
344 E 100 S Ste 301Salt Lake City, UT 84111-1727
Phone: (801) 428-4257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1871008052 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 9, 2017 |
| Last updated in NPPES | December 9, 2017 |
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