Individual
MATTHEW CURTIS JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 E TWAIN AVE STE 108, LAS VEGAS, NV 89169-4216
(209) 204-5672
Mailing address
6170 BOULDER HWY APT 1006, LAS VEGAS, NV 89122-7705
(909) 433-0060
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NV
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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