| Name | DERALD D FARRIMOND MD |
|---|---|
| Address | 7221 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip | 89117 |
| Mailing Address | 7221 W CHARLESTON BLVD |
| Mailing Address 2 | 7221 W CHARLESTON BLVD |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89117 |
| Agent Type | Noncommercial Registered Agent |
| Company | MAGNOLIA HEALTH INC |
|---|---|
| Entity Number | E0166782016-3 |
| NV Business ID | NV20161216958 |