Individual
DIVINO DEMEIS-DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18301 N 79TH AVE STE C133, GLENDALE, AZ 85308-8471
(815) 412-5855
Mailing address
10310 W BEARDSLEY RD UNIT 1029, PEORIA, AZ 85382-0004
(815) 412-5855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9373
AZ
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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