Provider Demographics
NPI:1467669747
Name:BARBREY, ARLENE (LAC)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:BARBREY
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 1:6675 FALLS OF NEUSE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6803
Mailing Address - Country:US
Mailing Address - Phone:919-676-6161
Mailing Address - Fax:
Practice Address - Street 1:1100 LOGGER CT STE F103
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-8511
Practice Address - Country:US
Practice Address - Phone:858-442-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6911171100000X
NC635171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist