Individual
MS. LAQUITA SHENAY BRAZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1726 CHADWICK CT, HURST, TX 76054
(817) 280-9962
(817) 479-0124
Mailing address
1206 LYNNETTE CT, LANCASTER, TX 75134
(469) 744-6943
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99357
TX
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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