MEDICARE: MS. AMINA A SULAIMAN L.M.T, N.D

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175M00000X	Lay Midwife

General Provider Information

NPI Number	:	1831333202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMINA A SULAIMAN L.M.T, N.D

Provider Business Mailing Address
First Line	:	2609 IVY DR
Second Line	:	SUITE # 9
City	:	OAKLAND
State	:	CA
Zip	:	94606-2192
Country	:	US
Telephone Number	:	510-978-8080
Fax Number	:

Provider Business Practice Location Address
First Line	:	2609 IVY DR
Second Line	:	SUITE # 9
City	:	OAKLAND
State	:	CA
Zip	:	94606-2192
Country	:	US
Telephone Number	:	510-978-8080
Fax Number	:

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

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	04/28/2009

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