TERRY AZZALINA — OIG Excluded Provider (EATON, OH, 1128a4)
TERRY AZZALINA — OIG Excluded Provider (EATON, OH, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: TERRY AZZALINA; Type: Individual; Provider category: NURSING PROFESSION.
| Name | TERRY AZZALINA |
|---|---|
| Type | Individual |
| Provider category | NURSING PROFESSION |
| Specialty | NURSE/NURSES AIDE |
| City | EATON |
| State | OH |
| ZIP | 45320 |
| Exclusion authority | 1128a4 |
| Exclusion reason | Felony conviction relating to controlled substances |
| Exclusion date | 2004-05-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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