Organization
BODY REGENERATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE CLEMONS CEO (CHIEF EXECUTIVE OFFICER)
(301) 841-5191
Entity
Organization
Contact information
Practice address
801 ROEDER RD, SUITE 425, SILVER SPRING, MD 20910-4467
(301) 558-8088
(301) 558-8806
Mailing address
3102 LOWE LN, FORT WASHINGTON, MD 20744-1439
(301) 265-0886
(301) 265-1103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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