Individual
MOLLIE FRANCES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
3801 LINWOOD AVE, OAKLAND, CA 94602-1625
(510) 710-7166
(510) 482-1511
Mailing address
3801 LINWOOD AVE, OAKLAND, CA 94602-1625
(510) 710-7166
(510) 482-1511
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
190
CA
Other
Enumeration date
12/19/2008
Last updated
08/06/2009
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