Organization
VANITY: AESTHETICS, DERMATOLOGY & WELLNESS, LLC
Active
Other names
Vanity
Organization subpart
No
Provider details
NPI number
Authorized official
JESIKA HARRELL PA (MEMBER)
(904) 716-8955
Entity
Organization
Contact information
Practice address
431 W 7TH AVE STE 204, ANCHORAGE, AK 99501-3500
(907) 250-2511
(888) 908-9442
Mailing address
431 W 7TH AVE STE 204, ANCHORAGE, AK 99501-3500
(907) 250-2511
(888) 908-9442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PADA1252
AK
261QM1300X
Multi-Specialty Clinic/Center
Primary
PADA1252
AK
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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