| NPI | 1619492709 |
|---|---|
| Doing Business As | VANISH - ADVANCED VEIN TREATMENTS |
| Entity Type | Organization |
| Authorized Contact | DENISE ABERNETHY President 262-476-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-01-30 |