Provider Demographics
NPI:1457048407
Name:REDA, GABRIELA (CHES)
Entity Type:Individual
Prefix:MS
First Name:GABRIELA
Middle Name:
Last Name:REDA
Suffix:
Gender:F
Credentials:CHES
Other - Prefix:
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:BOEDECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7000 PALISADES CIRCLE
Mailing Address - Street 2:APT 7406
Mailing Address - City:MANASSAS PARK
Mailing Address - State:VA
Mailing Address - Zip Code:20111
Mailing Address - Country:US
Mailing Address - Phone:845-826-0183
Mailing Address - Fax:
Practice Address - Street 1:7000 PALISADES CIRCLE
Practice Address - Street 2:APT 7406
Practice Address - City:MANASSAS PARK
Practice Address - State:VA
Practice Address - Zip Code:20111
Practice Address - Country:US
Practice Address - Phone:845-826-0183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
34127174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator