Angie C Riddle

Debarred entity

Born 8 May 1966 (60 years old),United States. Named in 1 sanctions listing.

Sanctions and listings1

Effective
20 Jan 2025
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Licensing Problems
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1962745356

Addresses1

8350 US Highway 64

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