Leticia Bravo

NPI #1164565180 in Glasgow, Kentucky

Provider Information

NPI Number: 1164565180
Entity Type: Individual
Name: Leticia Bravo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1411 N RACE ST
City: Glasgow
State: Kentucky
ZIP Code: 42141-3474
Phone: (270) 651-9755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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