Individual
DANELLE HELEN GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 FULTON AVE STE 205, SACRAMENTO, CA 95825-4517
(916) 484-3570
Mailing address
900 FULTON AVE STE 205, SACRAMENTO, CA 95825-4517
(916) 484-3570
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
706560
CA
167G00000X
Licensed Psychiatric Technician
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Other
Enumeration date
06/03/2021
Last updated
06/04/2021
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