Individual
MRS. EMILY MATTHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9405 FOREST EDGE AVE, LAS VEGAS, NV 89149-1623
(702) 505-0847
Mailing address
9405 FOREST EDGE AVE, LAS VEGAS, NV 89149-1623
(702) 505-0847
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
NV
Enumeration date
09/11/2013
Last updated
09/11/2013
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