LEILANI TATUM

FORT WORTH, TX
NPI1497460992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  1107543)
Enumeration Date2023-01-18
Last Update Date2023-01-18
Business Address
LEILANI TATUM NP
1650 W ROSEDALE ST
FORT WORTH, TX 76104-7400
Phone number: 469-333-1543
Mailing Address
LEILANI TATUM NP
310 FORT EDWARD DR
ARLINGTON, TX 76002-4498
Phone number: 682-270-4448
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