| NPI | 1407119811 |
|---|---|
| Doing Business As | SHORE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON GLENN BOWERS President 732-223-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |