Individual
MATTHEW DANIEL BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 S JONES BLVD, SUITE 1, LAS VEGAS, NV 89146-5650
(702) 888-0036
(702) 920-7654
Mailing address
540 N 28TH ST, LAS VEGAS, NV 89101-3602
(702) 474-0600
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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