Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | Susan Andrews | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States of America | [sources] | |||
ID Number | D67708 | [sources] | |||
NPI | 1295786184 | [sources] | |||
Sector | 207P00000X 207Q00000X 207QG0300X 207RC0000X 207RG0100X 207RI0200X 207RX0202X 207U00000X 208000000X 208M00000X 363L00000X 363LF0000X | [sources] | |||
Status | not available | [sources] | |||
Last change | Last processed | First seen |
List of providers excluded from participating in the Delaware Medicaid program.
United States of America · DHSS
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