Provider Demographics
NPI:1033503701
Name:GUARIGLIA, SARAYA (CSFA)
Entity type:Individual
Prefix:
First Name:SARAYA
Middle Name:
Last Name:GUARIGLIA
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 COUNTRYSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-5823
Mailing Address - Country:US
Mailing Address - Phone:636-345-1305
Mailing Address - Fax:
Practice Address - Street 1:267 COUNTRYSHIRE DR
Practice Address - Street 2:
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-5823
Practice Address - Country:US
Practice Address - Phone:636-345-1305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant