| Name | LAMON D. WELCH-WALTKEEM |
|---|---|
| Address | 4145 SOUTH GRAND CANYON DRIVE #107 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89147 |
| Mailing Address | 4955 SOUTH DURANGO DRIVE #176 |
| Mailing Address 2 | 4955 SOUTH DURANGO DRIVE #176 |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89113 |
| Agent Type | Noncommercial Registered Agent |
| Company | GRAND CANYON MEDICAL SUPPLIES |
|---|---|
| Entity Number | C17746-2004 |
| NV Business ID | NV20041522303 |