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Jennifer Wormuth

Debarred entity
TypePerson[sources]
NameJennifer Wormuth[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense No: D66302[sources]
First nameJennifer[sources]
Last nameWormuth[sources]
NPI1518159151[sources]
SectorMD[sources]
Address2001 MEDICAL PKWY, ANNAPOLIS, MD 21401[sources]
Last changeLast processedFirst seen

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Data sources

US Maryland Sanctioned Providers1,585

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States · MDH


Source data IDs: us-npi-1518159151 · us-medmd-4c855c4b3d09d56582ec0661b69f92b834d02ff5

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