MEDICARE: ALIMATU SALLAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	133NN1002X	Nutrition Education Nutritionist
3	374J00000X	Doula

General Provider Information

NPI Number	:	1295515500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIMATU SALLAH

Provider Business Mailing Address
First Line	:	1203 FIDLER LN APT 701
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-7405
Country	:	US
Telephone Number	:	301-789-4720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1203 FIDLER LN APT 701
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-7405
Country	:	US
Telephone Number	:	301-789-4720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2023
Last Update Date	:	11/29/2023

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Directions to “ ALIMATU SALLAH ” Practice Location

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