| Gleam Aesthetic Pllc | |
| 202 Central Ave S Ste 8 Valley City ND 58072-3325 | |
| (701) 840-0706 | |
| Not Available | 
| Full Name | Gleam Aesthetic Pllc | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| Provider Enumeration Date | 10/09/2023 | 
| Last Update Date | 10/09/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063293967 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
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