| Name | QUINCY E FORTIER MD |
|---|---|
| Address | 1431 WENGERT AVE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89104 |
| Agent Type | Noncommercial Registered Agent |
| Company | PEARL SPAR INCORPORATED |
|---|---|
| Entity Number | C1066-1961 |
| NV Business ID | NV19611000921 |
| Company | FUN INCORPORATED |
|---|---|
| Entity Number | C1192-1965 |
| NV Business ID | NV19651001044 |