| Name | ANGELA L. LORENZO PA-C |
|---|---|
| Address | 911 NORTH BUFFALO DR, STE 113 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89128 |
| Mailing Address | PO BOX 36190 |
| Mailing Address 2 | PO BOX 36190 |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89133 |
| Agent Type | Noncommercial Registered Agent |
| Company | LIFE SPA LTD. |
|---|---|
| Entity Number | E0251532015-7 |
| NV Business ID | NV20151319305 |