Individual
KATELYN BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BASE KODIAK BLDG N46, KODIAK, AK 99619
(907) 487-5757
Mailing address
BASE KODIAK BLDG N46, KODIAK, AK 99619
(907) 487-5757
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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