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 |