Individual
MS. DOMINIQUE S GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC, RLC
Contact information
Practice address
3537 BERRYHILL DR, ROANOKE, VA 24018-4403
(757) 598-2507
(540) 444-2309
Mailing address
3537 BERRYHILL DR, ROANOKE, VA 24018-4403
(757) 598-2507
(540) 444-2309
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-6071
VA
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
11/05/2014
Last updated
06/29/2020
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