| Name | MARIE ELLERTON |
|---|---|
| Address | 701 BRIDGER AVE STE 700 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89101 |
| Mailing Address | 8084 LANDS END CT |
| Mailing Address 2 | 8084 LANDS END CT |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89117 |
| Agent Type | Noncommercial Registered Agent |
| Company | NEVADA MEDICAL CREDENTIALING SERVICE |
|---|---|
| Entity Number | C9615-1996 |
| NV Business ID | NV19961118879 |