| Body Basics Wellness Center Llc | |
|
42-a Main Street Reisterstown MD 21136 | |
| (410) 702-7354 | |
| (443) 569-6768 |
| Full Name | Body Basics Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 42-a Main Street, Reisterstown, Maryland |
| Authorized Official Name and Position | Dr. Kaysan Johnson-owens (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4438037847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Body Basics Wellness Center Llc 42-a Main Street Reisterstown MD 21136 Ph: (410) 702-7354 | Body Basics Wellness Center Llc 42-a Main Street Reisterstown MD 21136 Ph: (410) 702-7354 |
| NPI Number | 1891494811 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891494811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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