Individual
DR. MARIBEL RACHO OBENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1401 ROCKVILLE PIKE, SUITE 100, ROCKVILLE, MD 20852-1428
(301) 468-9000
(301) 309-9355
Mailing address
5225 POOKS HILL RD, APT. #214-SOUTH, BETHESDA, MD 20814-2052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12266068
CAQH
MD
Enumeration date
07/26/2011
Last updated
07/26/2011
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