Organization
VIBRANT U MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GARDINER (NURSE PRACTITIONER)
(585) 944-1808
Entity
Organization
Contact information
Practice address
1306 MAIN ST, VANCOUVER, WA 98660-2919
(360) 382-1380
Mailing address
1306 MAIN ST, VANCOUVER, WA 98660-2919
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
04/09/2025
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