LEXY SHANTEL POWELL

DES MOINES, IA
NPI1043053630
Former NameLEXY SHANTEL WADSWORTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IA  R-13219)
Enumeration Date2024-06-13
Last Update Date2024-06-16
Business Address
LEXY SHANTEL POWELL DO
1200 PLEASANT ST
DES MOINES, IA 50309-1406
Phone number: 515-241-6636
Mailing Address
LEXY SHANTEL POWELL DO
1200 PLEASANT ST
DES MOINES, IA 50309-1406
Phone number: