| 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 |
| Certification Date | 10/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063293967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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