DANA JEAN LEATHERWOOD

FORT WORTH, TX
NPI1023203726
Former NameDANA JEAN DANKANYIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  547178)
Enumeration Date2007-09-06
Last Update Date2008-11-18
Business Address
Mrs. DANA JEAN LEATHERWOOD PMHNP
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-250-2084
Mailing Address
Mrs. DANA JEAN LEATHERWOOD PMHNP
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-250-2084