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Serena Judith Fuller

Debarred entity

Serena Judith Fuller is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Serena J. Fuller · Serena Judith Fuller				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Serena				[sources]
ID Number	`PN309657`				[sources]
Last name	Fuller				[sources]
Middle name	J.				[sources]
Title	LPN				[sources]
Position	LPN				[sources]
Address	Lackawanna, PA				[sources]
Last change	2025-08-15	Last processed	2026-02-15	First seen	2025-07-09

Sanctions
Country	Authority	Program	Start date	End date
United States	Pennsylvania Department of Human Services		2025-05-20	-

Address
Full address	Country
LACKAWANNA, PA · Lackawanna, PA	United States

List of providers excluded from participating in the Delaware Medicaid program.

United States · DHSS

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

Source data IDs: us-medde-1f58fd8ef15d802e1914cc4854ecb1650e80a4b6 · us-medpa-77cb4015c1f81bfae20becf2d70cd04eea470fce

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