Individual
SAMMY MURITHI KIRUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2167 INNWOOD DR SE, KENTWOOD, MI 49508-5036
(616) 516-3954
Mailing address
2167 INNWOOD DR SE, KENTWOOD, MI 49508-5036
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311ZA0620X
—
MI
Enumeration date
06/13/2017
Last updated
06/13/2017
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