Linda Diana Pealo LPN

NPI 1114185790 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1114185790
Gender Female
Enumeration Date 05/29/2008
Last Updated 05/29/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
77 WILSONIA RD
ROCHESTER NY, 14609-6719, US
Phone (585) 482-2420
Fax
Business Location
77 WILSONIA RD
ROCHESTER NY, 14609-6719, US
Phone (585) 482-2420
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 278813-1
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According to our database, Ms. Linda Diana Pealo LPN NPI is 1114185790, taxonomy code is 164W00000X and license number is 278813-1, license state is located at New York. Linda Diana Pealo LPN physically located at 77 Wilsonia Rd, Rochester NY, 14609-6719. NPI Number Linda Diana Pealo LPN has the Individual type.

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1114185790 NPI number is provided on an as is basis without warranty of any kind. 1114185790 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Diana Pealo LPN are for informational purposes only.