Leticia Yvonne Brazil, MILITARY PROVIDER
NPI #1174889562 in Whiteman Afb, Missouri
Provider Information
- NPI Number
- 1174889562
- Entity Type
- Individual
- Name
- Leticia Yvonne Brazil, MILITARY PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- MILITARY PROVIDER
- Enumeration Date
- Apr 10, 2012
- Last Updated
- Feb 17, 2022
Practice Location
- Address
- 331 SIJAN AVE.
- City
- Whiteman Afb
- State
- Missouri
- ZIP Code
- 65305-5001
- Phone
- (940) 704-8099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Paramedic |
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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