| Name | SUSAN R. FERANDEZ M.D. |
|---|---|
| Address | 2621 W. HORIZON RIDGE PKWY |
| City | HENDERSON |
| State | NV |
| Zip | 89052 |
| Mailing Address | 1400 SAINTSBURY DRIVE |
| Mailing Address 2 | 1400 SAINTSBURY DRIVE |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89144 |
| Agent Type | Noncommercial Registered Agent |
| Company | SUSAN RIZAL FERNANDEZ MD PROF. CORP. |
|---|---|
| Entity Number | C21688-2004 |
| NV Business ID | NV20041561708 |