Organization
BEAUTY GREEN SALON & HAIR EXTENSIONS, LLC
Active
Other names
BG Integrative Studio
Organization subpart
No
Provider details
NPI number
Authorized official
YSDALY THIELEN (PRESIDENT)
(786) 607-3698
Entity
Organization
Contact information
Practice address
3812 SW 8TH ST, CORAL GABLES, FL 33134-3002
(786) 607-3698
Mailing address
3812 SW 8TH ST, CORAL GABLES, FL 33134-3002
(786) 607-3698
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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