| NPI | 1851759070 |
|---|---|
| Doing Business As | SHORELINE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MADHU KATAKIA Medical Director 424-287-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |