Provider Demographics
NPI:1366132078
Name:SAHAGUN, ARIAUNNA RAQUEL
Entity type:Individual
Prefix:
First Name:ARIAUNNA
Middle Name:RAQUEL
Last Name:SAHAGUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10451 STONE GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-8532
Mailing Address - Country:US
Mailing Address - Phone:954-470-8517
Mailing Address - Fax:
Practice Address - Street 1:10451 STONE GLEN DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-8532
Practice Address - Country:US
Practice Address - Phone:954-470-8517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician