| Name | PETER A. CARAVELLA, JR., M.D., PROFESSIONAL CORPORATION c/o PRESIDENT |
|---|---|
| Address | 8620 TITLEIST CIRCLE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89117 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | PETER A. CARAVELLA, JR., M.D., PROFESSIONAL CORPORATION |
|---|---|
| Entity Number | E0305382010-8 |
| NV Business ID | NV20101479231 |