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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Charlene Ashley Martin · Charlene Davis | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| NPI | 1023519709 | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who have been excluded/sanctioned from the Nevada Medicaid Program.
United States of America · DHCFP
For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Nevada Department of Health and Human Services Division of Health Care Financing and Policy | ||||
| Linked from | ||||
|---|---|---|---|---|
| Subject | Role | Start date | End date | |
| Forward Impressions LLC | - | - | - | |