Individual
AKEIBIA MOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
813 E PECAN AVE, WACO, TX 76704-2634
(254) 715-9660
Mailing address
813 E PECAN AVE, WACO, TX 76704-2634
(254) 715-9660
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1079220
TX
164X00000X
Licensed Vocational Nurse
353005
TX
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
342000000X
Transportation Network Company
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/01/2021
Last updated
11/29/2022
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