Provider Demographics
NPI:1326495557
Name:SAGUN-APILADO, DANIELLE ELLEN
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ELLEN
Last Name:SAGUN-APILADO
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 1:95-107 LALEI PL
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-3021
Mailing Address - Country:US
Mailing Address - Phone:808-779-7865
Mailing Address - Fax:
Practice Address - Street 1:95-107 LALEI PL
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3021
Practice Address - Country:US
Practice Address - Phone:808-779-7865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-14620225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist