| Name | BENJAMIN NGUYEN |
|---|---|
| Address | 8515 EDNA AVE #280 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89117 |
| Mailing Address | 8963 W VIKING RD |
| Mailing Address 2 | 8963 W VIKING RD |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89147 |
| Agent Type | Noncommercial Registered Agent |
| Company | COMMUNITY PAINCARE L.L.C. |
|---|---|
| Entity Number | E0050302014-6 |
| NV Business ID | NV20141067175 |