Type not stated

FRIEND, MELISSA ALICE

Debarred entity

United States. Named in 1 sanctions listing.

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Summary

License number: 2015033047

Sanctions and listings1

  • Effective
    21 Mar 2020

    Official designation

    Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States

    REVOKED LICENSE

    mmac.mo.gov

Identifiers1

IdentifierNumber
NPI number1407103989

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