Organization
B&G BEAUTY COMPANY LLC
Active
Other names
Immerse Spa and Salon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN ANTWILER (OWNER)
(303) 946-4602
Entity
Organization
Contact information
Practice address
3234 S. WADSWORTH BLVD., UNIT A, LAKEWOOD, CO 80227-8022
(303) 955-4882
Mailing address
2907 KEEPSAKE WAY, CASTLE ROCK, CO 80109-3945
(303) 946-4602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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