| Name | PREM K. KITTUSAMY MD |
|---|---|
| Address | 9811 WEST CHARLESTON BLVD NO 2542 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89117 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | B. P. KITTUSAMY, M.D. LTD. |
|---|---|
| Entity Number | E0345472007-2 |
| NV Business ID | NV20071705733 |