Individual
DR. DERMONT MATARJARO SPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
130 LETOURNEU CIRCLE BLDG 90311, HURLBURT FIELD, FL 52544-5613
(850) 881-4327
Mailing address
130 LETOURNEU CIRCLE BLDG 90311, HURLBURT FIELD, FL 52544-5613
(850) 881-4327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4289
SC
111N00000X
Chiropractor
DC-27702
CA
Other
Enumeration date
12/31/2009
Last updated
02/15/2021
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