| Doctor Name: | LETICIA YVONNE BRAZIL |
| NPI Number: | 1174889562 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | IDMT-P |
| License Number: | M5025933 |
| Business Practice Address: | 117 Bradley Blvd Travis Afb, CA - 945351345 |
| Business Phone Number: | 9407048099 |
| Business Fax Number: | |
| Mailing Address: | 165 Webb Dr, RAY CITY |
| State: | GA |
| Postal Code: | 316456333 |
| Phone Number: | 9407048099 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2012 |
| NPI Last Update Date: | 08/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | M5025933 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |