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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