National Provider Identifier

Jubril Tolani Pedro Jr., L.P.N/L.M.T

Jubril Tolani Pedro Jr., L.P.N/L.M.T is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 957-5839.

NPI 1831490069Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1831490069
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 04, 2010
Last Updated
November 04, 2010

Practice Location

  • 3102 Elmwood Ave
  • Apt.11
  • Rochester, NY 14618-2018

Phone: (585) 957-5839

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Massage Therapist (225700000X)
Full Record
NPI
1831490069
Entity Type
Individual
Last Name
Pedro
First Name
Jubril
Middle Name
Tolani
Name Suffix
Jr.
Credential
L.P.N/L.M.T
Mailing Street Address
3102 Elmwood Ave
Mailing Address Line 2
Apt.11
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2018
Mailing Country
US
Mailing Phone
(585) 957-5839
Practice Street Address
3102 Elmwood Ave
Practice Address Line 2
Apt.11
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2018
Practice Country
US
Practice Phone
(585) 957-5839
Enumeration Date
November 04, 2010
Last Updated
November 04, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Massage Therapist (225700000X)