Type not stated

Gloria Azeke Simonson

Debarred entity

United States. Named in 1 sanctions listing.

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Summary

License number: C1-0009126

Sanctions and listings1

  • Effective
    18 Sep 2018

    Official designation

    Delaware Board of Medical Licensure and DisciplineUS Delaware Medicaid Sanctioned ProvidersUnited States

    Manage Care Reporting Only-Active for 207Q00000X, 207RH0002X Taxonomies. Consent Agreement - Letter of Reprimand

    medicaid.dhss.delaware.gov

Identifiers1

IdentifierNumber
NPI number1821048745

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