| Name | JOHN VAN KOUWENBERG |
|---|---|
| Address | 1316 PASSIFLORA DRIVE |
| City | HENDERSON |
| State | NV |
| Zip | 89002 |
| Mailing Address | 1316 PASSIFLORA DRIVE |
| Mailing Address 2 | 1316 PASSIFLORA DRIVE |
| Mailing City | HENDERSON |
| Mailing State | NV |
| Mailing Zip | 89002 |
| Agent Type | Noncommercial Registered Agent |
| Company | 21ST CENTURY WELLNESS, LLC |
|---|---|
| Entity Number | E0642262014-6 |
| NV Business ID | NV20141781627 |