Individual
M WINSTON MATSUUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 RAMSGATE DR APT 118, HENDERSON, NV 89074-6113
(702) 465-3447
Mailing address
2201 RAMSGATE DR APT 118, HENDERSON, NV 89074-6113
(702) 465-3447
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
06/14/2021
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