| Name | JEFFREY STEIN, MD |
|---|---|
| Address | C/O MT. GRANT GENERAL HOSPITAL, 200 SOUTH A STREET |
| City | HAWTHORNE |
| State | NV |
| Zip | 89415 |
| Mailing Address | P.O. BOX 1510 |
| Mailing Address 2 | P.O. BOX 1510 |
| Mailing City | HAWTHORNE |
| Mailing State | NV |
| Mailing Zip | 89415 |
| Agent Type | Noncommercial Registered Agent |
| Company | J. STEIN, M.D., PC |
|---|---|
| Entity Number | E0379512007-8 |
| NV Business ID | NV20071740443 |