Individual
JAMES N WAITHAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2325 CALIFORNIA ST, OCEANSIDE, CA 92054-5711
(760) 473-8581
Mailing address
1145 E BARHAM DR SPC 125, SAN MARCOS, CA 92078-4542
(619) 316-3574
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4617944
DRIVER LICENSE
CA
Enumeration date
03/09/2021
Last updated
03/09/2021
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