| Name | FIDELIS E. BELTRAN |
|---|---|
| Address | 2770 S. MARYLAND PARKWAY, SUITE 316-B |
| City | LAS VEGAS |
| State | NV |
| Zip | 89109 |
| Mailing Address | 2770 S. MARYLAND PARKWAY, SUITE 316-B |
| Mailing Address 2 | 2770 S. MARYLAND PARKWAY, SUITE 316-B |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89109 |
| Agent Type | Noncommercial Registered Agent |
| Company | HEALTHCARE PROVIDER ADVISORY GROUP INC. |
|---|---|
| Entity Number | E0473302015-8 |
| NV Business ID | NV20151598828 |