Leticia Yvonne Brazil, MILITARYPROVIDER

Individual provider Paramedic · NPI 1174889562

Leticia Yvonne Brazil, MILITARYPROVIDER is registered under Paramedic in Whiteman AFB, Missouri. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in: GA
In the registry since: 2012
Specialties on file: 2

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Practice location Address checks out

331 Sijan Ave
Whiteman AFB, MO 65305-5001
Phone: (940) 704-8099

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary)	Taxonomy 1710I1003X
Paramedic	Taxonomy 146L00000X · Licence M5025933 (GA)

Record details

NPI number	1174889562
Entity type	Individual (Type 1)
Gender	Female
Credentials	MILITARYPROVIDER
Sole proprietor	No
NPI enumerated	April 10, 2012
Last updated in NPPES	February 17, 2022
Certification date	February 17, 2022