| Name | MARYSOL REZANOV |
|---|---|
| Address | 5655 W. BADURA AVE. #209 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89118 |
| Mailing Address | PO BOX 401363 |
| Mailing Address 2 | PO BOX 401363 |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89140 |
| Agent Type | Noncommercial Registered Agent |
| Company | NUEVA VIDA MENTAL HEALTH, LLC |
|---|---|
| Entity Number | E0383192013-2 |
| NV Business ID | NV20131469638 |