Individual
THOMAS JAMES MATARRESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 N EASTERN AVE STE 120, LAS VEGAS, NV 89101-2885
(702) 772-4864
Mailing address
434 BOTTLE BRUSH WAY, HENDERSON, NV 89015-7717
(702) 468-4648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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