Provider Demographics
NPI:1366028367
Name:GUERRA, SARAH ELISIA
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELISIA
Last Name:GUERRA
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 1:2016 N MASON ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5183
Mailing Address - Country:US
Mailing Address - Phone:989-326-6989
Mailing Address - Fax:
Practice Address - Street 1:2016 N MASON ST APT 3
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5183
Practice Address - Country:US
Practice Address - Phone:989-326-6989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8861912OtherCHORE PROVIDER