| Name | EMMMANUEL G. ACOSTA |
|---|---|
| Address | 2770 S MARYLAND PKWY, SUITE 215 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89109 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | PHYSICAL MEDICINE & PAIN MANAGEMENT SPECIALIST, INC. |
|---|---|
| Entity Number | E0465792010-0 |
| NV Business ID | NV20101713047 |