Individual
SANJIV RONALD MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E CHICAGO RD, STURGIS, MI 49091-1848
(269) 651-5141
Mailing address
500 E CHICAGO RD, STURGIS, MI 49091-1848
(269) 651-5141
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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