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Organization
BODY BASICS WELLNESS CENTER LLC
Active
Organization
BODY BASICS WELLNESS CENTER LLC
Active
Other names
Body Basics Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR. KAYSAN JOHNSON-OWENS DNP (MEDICAL DIRECTOR)
(443) 803-7847
Entity
Organization
Contact information
Practice address
42-A MAIN STREET, REISTERSTOWN, MD 21136
(410) 702-7354
(443) 569-6768
Mailing address
42-A MAIN STREET, REISTERSTOWN, MD 21136
(410) 702-7354
(443) 569-6768
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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