| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | ANDRE LAMAR WALLACE · Andre L. Wallace | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Andre | [sources] | |||
| ID Number | MSG007581 | [sources] | |||
| Last name | Wallace | [sources] | |||
| Middle name | L. · LAMAR | [sources] | |||
| NPI | 1578178844 | [sources] | |||
| Title | Massage Therapist | [sources] | |||
| Unique Entity ID | VGAKGC6UX247 | [sources] | |||
| Position | THERAPIST (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 2701 MADISON STREET, APT G268, CHESTER, PA 19013 · CHESTER, PA 19013, USA · Delaware, PA | [sources] | |||
| Last change | Last processed | First seen | |||
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd · us-fed-excl-andre-lamar-wallace-19013-chesterFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Delaware, PA | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | OPM | Reciprocal | - |