| Name | BENJAMIN RODRIGUEZ, M.D. |
|---|---|
| Address | 3000 W. CHARLESTON BLVD, SUITE ONE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89102 |
| Mailing Address | 3000 W. CHARLESTON BLVD, SUITE ONE |
| Mailing Address 2 | 3000 W. CHARLESTON BLVD, SUITE ONE |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89102 |
| Agent Type | Noncommercial Registered Agent |
| Company | JADE SPEC LLC |
|---|---|
| Entity Number | E0479392014-2 |
| NV Business ID | NV20141591583 |