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Nicole Ladson Dubose

NPI 1518882562 · on the registry since 2026 · sole proprietor

Practice

Address
30725 Pyramid Point Dr
Canyon Lake, CA 92587
Phone
(909) 200-5911

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California