Provider Demographics
NPI:1265049001
Name:MARSHALL, NOESHA LEXUS
Entity type:Individual
Prefix:
First Name:NOESHA
Middle Name:LEXUS
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 IVANHOE ST SW APT 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1096
Mailing Address - Country:US
Mailing Address - Phone:240-506-7885
Mailing Address - Fax:
Practice Address - Street 1:225 I ST NE APT 714
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4586
Practice Address - Country:US
Practice Address - Phone:202-276-2714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant