Individual
ELLEN REGINA DUBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3113
(714) 342-7337
Mailing address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3113
(714) 342-7337
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN951196705
CA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
RN951196705
CA
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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