Search › California › 106H00000X
Samantha Dubose
NPI 1871957365 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5815 Stoddard Rd Ste 600
Modesto, CA 95356 - Phone
- (209) 543-1874
- Fax
- (209) 543-1869
- Organisation at this address
- Deep Wellness Center Child & Family Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Additional practice sites
- 101 Poplar Ave, Modesto, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-19
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