Individual
MRS. KATHLEEN MARIE DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, CIIM,CA
Contact information
Practice address
1901 STANDIFORD AVE, SUITE A, MODESTO, CA 95350-0149
(209) 324-2060
Mailing address
4000 SHADY GLEN CT, MODESTO, CA 95356-8795
(209) 544-0549
(209) 577-3103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397085-00
NCBTMB
CA
01
—
492759 YLEO
INDEPENDENT DISTRIBUTOR
CA
01
—
795230
ABMP
CA
01
—
CE 0090497
INSTRUCTOR TRAINING
CA
01
—
CE 12HOURS
CHAIR MASSAGE
CA
01
—
CE40HOURS
AROMTHERAPY ESSENTIALS
CA
01
—
CIIM
INSTRUCTOR CERTIFICATION
CA
01
—
CMT
TOUCHING FOR HEALTH
CA
Enumeration date
02/06/2007
Last updated
07/08/2007
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