Individual
CHANNEDIEULINE GABELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4204 6TH ST W, LEHIGH ACRES, FL 33971-1218
(239) 851-5397
Mailing address
4204 6TH ST W, LEHIGH ACRES, FL 33971-1218
(239) 851-5397
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
10/02/2024
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