Organization · Type 2 NPI
Graceful Secrets Medspa
Health Service Clinic/Center · St. Ansgar, IA
NPI number
1073279303
Active
Practice location
204 E 4th St
St. Ansgar, IA 50472-9606
Fax (319) 409-8274
Mailing address
4673 Cameo Ave
St. Ansgar, IA 50472-8544
Other practice locations
- 4673 Cameo Ave, St. Ansgar, IA 50472-8544 · (507) 254-8329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
About NPI 1073279303
Graceful Secrets Medspa's National Provider Identifier is 1073279303, issued on Nov 10, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in St. Ansgar, IA. The record was last updated on Nov 10, 2021.