| Name | MAHFOUD BEAJOW, M.D. |
|---|---|
| Address | 3006 S MARYLAND PARKWAY SUITE 400 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89109 |
| Mailing Address | 955 GRIER DRIVE |
| Mailing Address 2 | 955 GRIER DRIVE |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89119 |
| Agent Type | Noncommercial Registered Agent |
| Company | A.M. BEAJOW, M.D. INTERNAL MEDICINE ASSOCIATES MEDICAL HOME, PLLC |
|---|---|
| Entity Number | E0464992011-4 |
| NV Business ID | NV20111540441 |