| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | REGINALD EUGENE JR DEGRAFENREID · Reginald Degrafenreid II | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License No: R193260 | [sources] | |||
| First name | Reginald | [sources] | |||
| Last name | DEGRAFENREID · Degrafenreid II | [sources] | |||
| Middle name | EUGENE JR | [sources] | |||
| NPI | 1699149492 | [sources] | |||
| Sector | Nurse | [sources] | |||
| Position | NURSE PRACTITIONER ( (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 9905 MILL CENTRE DR, APT 363, OWINGS MILLS, MD 21117 · 9905 Mill Centre Dr, Apt. 363, Owings Mills, MD 21117 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States · MDH
us-medmd-f0cc861a440dcd7a71eab3dfe4c8b78a35081fcd · us-fed-excl-reginald-eugene-jr-degrafenreid-21117-owings-millsFor experts: raw data explorer
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| United States | Maryland Department of Health | - | - |