ALICIA A BALLOU — OIG Excluded Provider (CRANSTON, RI, 1128b4)
ALICIA A BALLOU — OIG Excluded Provider (CRANSTON, RI, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ALICIA A BALLOU; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | ALICIA A BALLOU |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | NURSE/NURSES AIDE |
| City | CRANSTON |
| State | RI |
| ZIP | 02910 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2017-11-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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