Search › Georgia › 101YM0800X
Krystyna Dubose
NPI 1568795912 · on the registry since 2009 · sole proprietor
Practice
- Address
- 107 Club Dr
Locust Grove, GA 30248 - Phone
- (407) 460-9344
Additional practice sites
- 2125 Portlight Dr, Orlando, FL
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 222Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-27
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 Georgia