Dominique Antoinette Palmer

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: PROMISe#: 103555370

Sanctions and listings2

Effective
3 Mar 2023
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Federal and MA excluded indefinite
medicaid.dhss.delaware.gov
Effective
3 Mar 2020; 17 Aug 2022
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov

Positions held1

Period not retained
LPN

Identifiers2

Identifier	Number
ID number	PN306444
NPI number	1154898765

Other names1

Also known as1

Dominique A Palmer

Addresses1

(IN), (IN)

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