Provider Demographics
NPI:1629666987
Name:STUBBS, CANDACE
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:
Last Name:STUBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CANDACE
Other - Middle Name:
Other - Last Name:STUBBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:937 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-1139
Mailing Address - Country:US
Mailing Address - Phone:757-376-2362
Mailing Address - Fax:
Practice Address - Street 1:937 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-1139
Practice Address - Country:US
Practice Address - Phone:757-376-2362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health