| Name | RUSHIKA FERNANDOPULLE, M.D., M.P.P. |
|---|---|
| Address | 3960 HOWARD HUGHES PKWY., STE. 500 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89169 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | IORA HEALTH, LLC |
|---|---|
| Entity Number | E0138702010-5 |
| NV Business ID | NV20101225451 |