Individual
KATRINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 6TH ST NE, FRIDLEY, MN 55432-5527
(952) 917-9444
Mailing address
5830 6TH ST NE, FRIDLEY, MN 55432-5527
(952) 917-9444
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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