Individual
RHODA MOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 BEVILLE RD, SOUTH DAYTONA, FL 32119-2158
(386) 453-4909
Mailing address
2090 S NOVA RD STE A127, SOUTH DAYTONA, FL 32119-8841
(386) 453-4909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CL0238165
FL
174400000X
Specialist
CL1310178
FL
Other
Enumeration date
12/12/2015
Last updated
04/29/2024
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