DR. Lesile Jane Mentele

NPI #1205105855 in Johnston, Iowa

Provider Information

NPI Number: 1205105855
Entity Type: Individual
Name: DR. Lesile Jane Mentele
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 27, 2011
Last Updated: Dec 27, 2011

Practice Location

Address: 6100 NW 97TH ST
City: Johnston
State: Iowa
ZIP Code: 50131
Phone: (515) 986-5250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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