| Name | KAMBIZ FARBAKHSH, M.D. |
|---|---|
| Address | 121 CARNEGIE ST. |
| City | HENDERSON |
| State | NV |
| Zip | 89052 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | LT PROACTIVE CARE CLINIC NEVADA - FARBAKHSH, PLLC |
|---|---|
| Entity Number | E0221182015-8 |
| NV Business ID | NV20151282747 |