Organization
DEER LAKE LODGE, LLC
Active
Other names
Organic Investments, llc
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BOULWARE (SPA & WELLNESS DIRECTOR)
(281) 414-5111
Entity
Organization
Contact information
Practice address
10500 DEER LAKE LODGE RD, MONTGOMERY, TX 77316-9604
(281) 414-5111
Mailing address
PO BOX 70709, HOUSTON, TX 77270-0709
(281) 414-5111
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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