Provider Demographics
NPI:1093947269
Name:JAGIELLO, ARIANA EVELINA
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:EVELINA
Last Name:JAGIELLO
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 1:7798 STARLING DR
Mailing Address - Street 2:314
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2742
Mailing Address - Country:US
Mailing Address - Phone:858-492-2346
Mailing Address - Fax:
Practice Address - Street 1:7798 STARLING DR
Practice Address - Street 2:314
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2742
Practice Address - Country:US
Practice Address - Phone:858-492-2346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator