Individual
KAYLEIGH DANIELLE ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 STEPHANS ROAD, BOAZ, AL 35957
(256) 572-9522
Mailing address
147 STEPHANS ROAD, BOAZ, AL 35957
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12710
AL
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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