JACQUELINE BAMBRICK — OIG Excluded Provider (WILLOUGHBY, OH, 1128b4)
JACQUELINE BAMBRICK — OIG Excluded Provider (WILLOUGHBY, OH, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JACQUELINE BAMBRICK; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | JACQUELINE BAMBRICK |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | NURSE/NURSES AIDE |
| City | WILLOUGHBY |
| State | OH |
| ZIP | 44094 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2016-12-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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