Individual
GERALDINE ANN SULIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 DOUGLAS BLVD STE 325, ROSEVILLE, CA 95661-4289
(916) 241-9844
(916) 241-9845
Mailing address
3001 DOUGLAS BLVD STE 325, ROSEVILLE, CA 95661-4289
(916) 241-9844
(916) 241-9845
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
710511
CA
133VN1004X
Pediatric Nutrition Registered Dietitian
710511
CA
363A00000X
Physician Assistant
Primary
PA 13268
CA
363AS0400X
Surgical Physician Assistant
PA13268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528129186
—
CA
Enumeration date
12/13/2006
Last updated
01/19/2017
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