Body Basics Wellness Center LLC
NPI #1891494811 in Reisterstown, Maryland
Provider Information
- NPI Number
- 1891494811
- Entity Type
- Organization
- Organization Name
- Body Basics Wellness Center LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 28, 2023
- Last Updated
- Feb 28, 2023
Practice Location
- Address
- 42-A MAIN STREET
- City
- Reisterstown
- State
- Maryland
- ZIP Code
- 21136
- Phone
- (410) 702-7354
Authorized Official
- Name
- DR. DR. KAYSAN JOHNSON-OWENS, DNP
- Title
- MEDICAL DIRECTOR
- Phone
- (443) 803-7847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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