| Name | KELLY VANWAGNER |
|---|---|
| Address | 2360 CORPORATE CIRCLE STE 100 |
| City | HENDERSON |
| State | NV |
| Zip | 89074 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | VAN WAGNER IMMEDIATE CARE CENTER, P.C. |
|---|---|
| Entity Number | E0325122008-8 |
| NV Business ID | NV20081451844 |