| Name | REVEREND DOCTOR K LASKO |
|---|---|
| Address | 8414 W FARM RD STE 180-367 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89131 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | AMERICAN BOARD OF HOSPITALIST PHYSICIANS |
|---|---|
| Entity Number | E0088982009-3 |
| NV Business ID | NV20091096614 |