| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | JENNIFER L FANOPOULOS · Jennifer Lynn Fanopoulos | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Jennifer | [sources] | |||
| Last name | Fanopoulos | [sources] | |||
| Middle name | L · Lynn | [sources] | |||
| Registration number | 624066 | [sources] | |||
| Sector | Registered Nurse | [sources] | |||
| Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 5521 S ADONIS PL, BOISE, ID 83716 · 5521 South Adonis Pl., Boise, ID, 83716 · BOISE, ID 83716, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-fed-excl-jennifer-l-fanopoulos-83716-boise · us-medca-ec29bff2652deaf1db9d84e687484314c880eeabFor experts: raw data explorer
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| United States | Department of Health Care Services | - | - |
| United States | HHS | Reciprocal | - |