| Name | MIRIAM S BETTENCOURT, M.D. |
|---|---|
| Address | 1701 N GREEN VALLEY PWKY 7-B |
| City | HENDERSON |
| State | NV |
| Zip | 89074 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | BETTENCOURT SKIN CENTER, PLLC |
|---|---|
| Entity Number | LLC11024-2003 |
| NV Business ID | NV20031112048 |