NPI 1174889562

Leticia Yvonne Brazil, MILITARYPROVIDER

Practitioner Independent Duty Medical Technicians Whiteman Afb, MO

Practice location

Address: 331 Sijan Ave., Whiteman Afb, MO 65305-5001
Phone: (940) 704-8099
Mailing address: 207 SW T Hwy, Kingsville, MO 64061-9229

Registered specialties (2)

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Missouri →

Paramedic

Emergency Medical Service Providers Taxonomy 146L00000X Licence M5025933 (GA)

Other Emergency Medical Technician, Paramedic providers in Missouri →

Registry record

NPI: 1174889562
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2012
Record last updated: 17 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.