| Name | SCOTT W. SOUTHARD |
|---|---|
| Address | 1520 VIRGINIA RANCH RD STE B |
| City | GARDNERVILLE |
| State | NV |
| Zip | 89410 |
| Agent Type | Noncommercial Registered Agent |
| Company | IN JESUS NAME MEDICAL MINISTRY |
|---|---|
| Entity Number | E0266322015-9 |
| NV Business ID | NV20151336970 |
| Company | SCOTT W. SOUTHARD, M.D., INC. |
|---|---|
| Entity Number | C25343-2001 |
| NV Business ID | NV20011429929 |