Person

DOMONIQUE JANINE COOK

Debarred entity

Born 3 May 1993 (33 years old),United States. Named in 2 sanctions listings.

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Sanctions and listings2

  • Effective
    18 Jan 2024

    Official designation

    Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States

    Excluded

    OIG

    wvmmis.com

  • Effective
    18 Jan 2024

    List of Excluded Individuals/Entities (LEIE)

    Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States

    1128a1

    Programme US-HHS-OIGoig.hhs.govoig.hhs.gov

Positions held1

  1. Period not retained

    PERSONAL CARE PROVID (INDIVIDUAL (UNAFFILI)

Identifiers1

IdentifierNumber
NPI number1467050864

Other names1

Also known as1

Domonique Cook

Addresses1

  • 203 Oakmont Way, Apt 203, Mount Hope, WV 25880

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