Individual
BRAELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5266 S 14TH ST, GRAND FORKS, ND 58201-9264
(701) 610-9684
Mailing address
5266 S 14TH ST, GRAND FORKS, ND 58201-9264
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
ND
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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