National Provider Identifier

Jamiela Anne Dimora, LPN

Jamiela Anne Dimora, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 734-9452.

NPI 1194128405Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1194128405
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 30, 2014
Last Updated
September 30, 2014

Practice Location

  • 59 Long Wood Dr
  • Rochester, NY 14612-2711

Phone: (585) 734-9452

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1194128405
Entity Type
Individual
Last Name
Dimora
First Name
Jamiela
Middle Name
Anne
Credential
LPN
Provider Other Last Name
Bach
Provider Other First Name
Jamiela
Provider Other Middle Name
Anne
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
59 Long Wood Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-2711
Mailing Country
US
Mailing Phone
(585) 734-9452
Practice Street Address
59 Long Wood Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-2711
Practice Country
US
Practice Phone
(585) 734-9452
Enumeration Date
September 30, 2014
Last Updated
September 30, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)