Individual
ELLE JADE DEL GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 LEXINGTON RD, VERSAILLES, KY 40383-1738
(251) 470-0859
Mailing address
504 LEE CIR, JOHNSON CITY, TN 37604-6123
(540) 454-1385
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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