| Name | CHARLES J. WALLACE |
|---|---|
| Address | 1930 VILLAGE CENTER CIRCLE #3-433 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89134 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | COORDINATED MEDICAL NETWORK, LLC |
|---|---|
| Entity Number | E0277282012-3 |
| NV Business ID | NV20121318993 |