| Name | GLENN A. COOPERMAN, M.D. |
|---|---|
| Address | 21 VIA DI MELLO |
| City | HENDERSON |
| State | NV |
| Zip | 89011 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | INSTITUTE FOR VITALITY AND HEALTH ENHANCEMENT, INC. |
|---|---|
| Entity Number | E0243852007-5 |
| NV Business ID | NV20071481168 |