Gleam Aesthetic Pllc | |
202 Central Ave S Ste 8 Valley City ND 58072-3325 | |
(701) 840-0706 | |
Not Available |
Full Name | Gleam Aesthetic Pllc |
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Speciality | Clinic/center |
Location | 202 Central Ave S Ste 8, Valley City, North Dakota |
Authorized Official Name and Position | Sarah Hansen (NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 7018400706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gleam Aesthetic Pllc 11682 35m St Se Valley City ND 58072-9522 Ph: (701) 840-0706 | Gleam Aesthetic Pllc 202 Central Ave S Ste 8 Valley City ND 58072-3325 Ph: (701) 840-0706 |
NPI Number | 1063293967 |
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Provider Enumeration Date | 10/09/2023 |
Last Update Date | 10/09/2023 |
Identifier | Type | State | Issuer |
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1063293967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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