Organization
GLEAM AESTHETIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HANSEN FNP-C (NURSE PRACTITIONER/OWNER)
(701) 840-0706
Entity
Organization
Contact information
Practice address
202 CENTRAL AVE S STE 8, VALLEY CITY, ND 58072-3325
(701) 840-0706
Mailing address
11682 35M ST SE, VALLEY CITY, ND 58072-9522
(701) 840-0706
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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