IndividualActive
Leticia Brazil, MILITARY PROVIDER
NPI 1174889562 · Independent Duty Medical Technicians · Whiteman Afb, MO
Provider details
- NPI number
- 1174889562
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- MILITARY PROVIDER
- Sex
- Female
- Sole proprietor
- No
- License
- M5025933 (GA)
Mailing address
207 Sw T Hwy
Kingsville, MO 64061-9229
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2022-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.