ILIVEWELL NUTRITION THERPAY, LLC

LAKEWAY, TX
NPI1306273347
Entity TypeOrganization
Authorized ContactADRIEN PACZOSA
President
512-547-9274
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
(Licence: TX  DT82817)
Enumeration Date2013-10-05
Last Update Date2013-10-05
Business Address
ILIVEWELL NUTRITION THERPAY, LLC
801 RANCH ROAD 620 S
LAKEWAY, TX 78734-5316
Phone number: 512-547-9274
Mailing Address
ILIVEWELL NUTRITION THERPAY, LLC
801 RANCH ROAD 620 S
LAKEWAY, TX 78734-5316
Phone number:
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