Individual
CANDACE OBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD., RICHMOND, VA 23224
(804) 351-1875
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 351-1875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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