JAKEE D AGUNDEZ — OIG Excluded Provider (HENDERSON, NV, 1128b4)
JAKEE D AGUNDEZ — OIG Excluded Provider (HENDERSON, NV, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JAKEE D AGUNDEZ; Type: Individual; Provider category: PHARMACY.
| Name | JAKEE D AGUNDEZ |
|---|---|
| Type | Individual |
| Provider category | PHARMACY |
| Specialty | TECHNICIAN |
| City | HENDERSON |
| State | NV |
| ZIP | 89015 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2004-07-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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