Individual provider · Type 1 NPI

Kathleen Marie Dubose, CMT, CIIM, CA

Specialist · Modesto, CA

NPI number 1770622375 Active

Practice location

1901 Standiford Ave, Suite A
Modesto, CA 95350-0149

Call (209) 324-2060 Map

Mailing address

4000 Shady Glen Ct
Modesto, CA 95356-8795

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1770622375

Kathleen Marie Dubose, CMT, CIIM, CA's National Provider Identifier is 1770622375, issued on Feb 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.