| Aesthetics & Body Lab | |
|
9650 Santiago Rd Ste 7 Columbia MD 21045-3960 | |
| (301) 309-7307 | |
| (301) 238-8039 |
| Full Name | Aesthetics & Body Lab |
|---|---|
| Speciality | Family Medicine |
| Location | 9650 Santiago Rd Ste 7, Columbia, Maryland |
| Authorized Official Name and Position | Keisha Bernard (OWNER) |
| Authorized Official Contact | 2403282015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetics & Body Lab 9650 Santiago Rd Ste 7 Columbia MD 21045-3960 Ph: (301) 309-7307 | Aesthetics & Body Lab 9650 Santiago Rd Ste 7 Columbia MD 21045-3960 Ph: (301) 309-7307 |
| NPI Number | 1356105241 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356105241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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