Aesthetics & Body Lab

NPI #1356105241 in Columbia, Maryland

Provider Information

NPI Number: 1356105241
Entity Type: Organization
Organization Name: Aesthetics & Body Lab
Primary Specialty: Family Medicine
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 9650 SANTIAGO RD STE 7
City: Columbia
State: Maryland
ZIP Code: 21045-3960
Phone: (301) 309-7307

Authorized Official

Name: KEISHA BERNARD, NP
Title: OWNER
Phone: (240) 328-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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