Provider Demographics
NPI:1932765260
Name:FREELS, GABRIELLE (LAC, DACM)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:FREELS
Suffix:
Gender:F
Credentials:LAC, DACM
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:FREELS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:73 GREENTREE DR # 133
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-7646
Mailing Address - Country:US
Mailing Address - Phone:302-535-0429
Mailing Address - Fax:
Practice Address - Street 1:699 S CARTER RD UNIT 5
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-7754
Practice Address - Country:US
Practice Address - Phone:302-389-8915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECQ-0000055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist