| Name | WAYNE BOULTON |
|---|---|
| Address | 8804 KILLIANS GREENS DRIVE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89131 |
| Mailing Address | 8804 KILLIANS GREENS DRIVE |
| Mailing Address 2 | 8804 KILLIANS GREENS DRIVE |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89131 |
| Agent Type | Noncommercial Registered Agent |
| Company | PREEMINENT PHYSICIAN ASSISTANT SERVICES LLC |
|---|---|
| Entity Number | E0470272013-8 |
| NV Business ID | NV20131573573 |