| Name | ROEHL T. PENA, M.D. |
|---|---|
| Address | 7280 W AZURE DR SUITE #130 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89130 |
| Mailing Address | 9020 BARIUM ROCK AVE |
| Mailing Address 2 | 9020 BARIUM ROCK AVE |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89143 |
| Agent Type | Noncommercial Registered Agent |
| Company | ROEHL T. PENA, M.D. |
|---|---|
| Entity Number | C6950-2004 |
| NV Business ID | NV20041414537 |