| Name | RICHARD SHINAMAN |
|---|---|
| Address | 144 VILLAGE BLVD #37 |
| City | INCLINE VILLAGE |
| State | NV |
| Zip | 89451 |
| Mailing Address | PO BOX 956 |
| Mailing Address 2 | PO BOX 956 |
| Mailing City | LAFAYETTE |
| Mailing State | CA |
| Mailing Zip | 94549 |
| Agent Type | Noncommercial Registered Agent |
| Company | CALIFORNIA PAIN AND WELLNESS CENTER, LLC |
|---|---|
| Entity Number | E0953772006-3 |
| NV Business ID | NV20061825986 |