Individual
MR. DAMON MATTISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2475 W CHEYENNE AVE STE 130, NORTH LAS VEGAS, NV 89032-4329
(702) 646-7570
(702) 974-1348
Mailing address
7100 W ALEXANDER RD APT 2081, LAS VEGAS, NV 89129-1713
(313) 575-0848
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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