| NPI | 1104394832 |
|---|---|
| Doing Business As | SHORE LIFE CHIROPRACTIC & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRETT TAVE Owner 732-202-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2019-07-23 |