SANDY BASULTO — OIG Excluded Provider (MIAMI, FL, 1128a1)
SANDY BASULTO — OIG Excluded Provider (MIAMI, FL, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: SANDY BASULTO; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | SANDY BASULTO |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | PHARMACY TECHNICIAN |
| City | MIAMI |
| State | FL |
| ZIP | 33101 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2019-06-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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