Individual
JEAN MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 STAR RD APT D, PAHRUMP, NV 89048-8250
(214) 662-6678
Mailing address
1420 STAR RD APT D, PAHRUMP, NV 89048-8250
(214) 662-6678
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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