Type 1 individualNPI 1174889562
LETICIA YVONNE BRAZIL MILITARY PROVIDER
1710I1003X · WHITEMAN AFB, MO
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 1710I1003X | 1710I1003X | Primary |
| 146L00000X | 146L00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s