| Name | CORY BIENIEMY |
|---|---|
| Address | 2706 THOMASVILLE AVE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89052 |
| Mailing Address | 2706 THOMASVILLE AVE |
| Mailing Address 2 | 2706 THOMASVILLE AVE |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89052 |
| Agent Type | Noncommercial Registered Agent |
| Company | BLUE LOTUS THERAPUETIC SERVICES L.L.C. |
|---|---|
| Entity Number | E0242132016-9 |
| NV Business ID | NV20161314802 |