Provider Demographics
NPI:1396867354
Name:FRIEL, CHRISTINE (LAC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:FRIEL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 MARIPOSA ST
Mailing Address - Street 2:#318
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2387
Mailing Address - Country:US
Mailing Address - Phone:415-255-2252
Mailing Address - Fax:415-255-2258
Practice Address - Street 1:1501 MARIPOSA ST
Practice Address - Street 2:#318
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-2387
Practice Address - Country:US
Practice Address - Phone:415-255-2252
Practice Address - Fax:415-255-2258
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC#8983171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist