| Name | NICHOLAS FACCIOLLA |
|---|---|
| Address | 8142 LAKE GENEVA CT |
| City | LAS VEGAS |
| State | NV |
| Zip | 89113 |
| Mailing Address | 8142 LAKE GENEVA CT |
| Mailing Address 2 | 8142 LAKE GENEVA CT |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89113 |
| Agent Type | Noncommercial Registered Agent |
| Company | NLF MEDICAL CONSULTING LLC |
|---|---|
| Entity Number | E0559092015-4 |
| NV Business ID | NV20151708211 |