| Name | BEHAILU TEKLU |
|---|---|
| Address | 4933 JEREMY DR |
| City | LAS VEGAS |
| State | NV |
| Zip | 89113 |
| Mailing Address | 4933 JEREMY DR |
| Mailing Address 2 | 4933 JEREMY DR |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89113 |
| Agent Type | Noncommercial Registered Agent |
| Company | PROVIDENCE MEDICAL STAFF INC. |
|---|---|
| Entity Number | E0476732014-1 |
| NV Business ID | NV20141588468 |