| NPI | 1093150070 |
|---|---|
| Doing Business As | ILIVEWELL NUTRITION |
| Entity Type | Organization |
| Authorized Contact | ADRIEN B PACZOSA Owner 512-547-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80445) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2020-05-01 |