| NPI | 1790428357 |
|---|---|
| Professional Name | DEONTE ALONZO GIBBS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 239054-30) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |