| Name | JEAN ANN HEFFELFINGER |
|---|---|
| Address | 2750 W WIGWAM AVE #1194 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89123 |
| Mailing Address | 6285 S MOJAVE RD #B |
| Mailing Address 2 | 6285 S MOJAVE RD #B |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89120 |
| Agent Type | Noncommercial Registered Agent |
| Company | CHOICE MEDICAL OUTLET, LLC |
|---|---|
| Entity Number | E0188872005-7 |
| NV Business ID | NV20051101560 |