Provider Demographics
NPI:1376773986
Name:BROWN, ANTONIA SAHAGUN (LVN)
Entity Type:Individual
Prefix:
First Name:ANTONIA
Middle Name:SAHAGUN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 CAMPANIA DR
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-9266
Mailing Address - Country:US
Mailing Address - Phone:661-778-4019
Mailing Address - Fax:
Practice Address - Street 1:8552 PARROT AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2203
Practice Address - Country:US
Practice Address - Phone:661-778-4019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN150268164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse