Individual
KENTON DEQUAN BIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8876 A C SKINNER PKWY UNIT 8216, JACKSONVILLE, FL 32256-0909
(386) 916-1579
Mailing address
8876 A C SKINNER PKWY UNIT 8216, JACKSONVILLE, FL 32256-0909
(386) 916-1579
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
228984
FL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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