Individual
CANDI MICHELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2066 GEORGE WASHINGTON MEMORIAL HIGHWAY, HAYES, VA 23072-3330
(804) 832-4297
Mailing address
PO BOX 1655, HAYES, VA 23072-1655
(804) 832-4297
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019015154
VA
261Q00000X
Clinic/Center
Primary
1250000130
VA
Other
Enumeration date
01/06/2025
Last updated
10/10/2025
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