Individual
DERON LOUIS JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
620 W STRASBURG RD, WEST CHESTER, PA 19382-1955
(610) 696-6676
Mailing address
620 W STRASBURG RD, WEST CHESTER, PA 19382-1955
(610) 696-6676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCDC009208L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001620186
HIGHMARK
—
01
—
2316426000
IBC
—
Enumeration date
05/23/2006
Last updated
02/25/2014
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