Individual
MS. KENYANNYA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 VALLEY CROSSING DR, JACKSONVILLE, FL 32210-2582
(904) 401-1308
Mailing address
2007 VALLEY CROSSING DR., ADDRESS 2, JACKSONVILLE, FL 32210-2582
(904) 401-1308
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
156F00000X
Technician/Technologist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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