Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Raeyu Yacob, N/A

Individual provider Driver · NPI 1225882178

Samuel Raeyu Yacob, N/A is a Driver in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

2524 W Elm St
Phoenix, AZ 85017-3639
Phone: (480) 227-2603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence D09767801 (AZ)

Record details

NPI number1225882178
Entity typeIndividual (Type 1)
GenderMale
Credentials N/A
Sole proprietorYes
NPI enumeratedApril 16, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

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