Gleam Aesthetic Pllc
NPI #1063293967 in Valley City, North Dakota
Provider Information
- NPI Number
- 1063293967
- Entity Type
- Organization
- Organization Name
- Gleam Aesthetic Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 9, 2023
- Last Updated
- Oct 9, 2023
Practice Location
- Address
- 202 CENTRAL AVE S STE 8
- City
- Valley City
- State
- North Dakota
- ZIP Code
- 58072-3325
- Phone
- (701) 840-0706
Authorized Official
- Name
- SARAH HANSEN, FNP-C
- Title
- NURSE PRACTITIONER/OWNER
- Phone
- (701) 840-0706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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