Individual
BRANDEN EMANUEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICATION AIDE 40HR
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
26362
NE
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
Update your record
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