Individual
MR. THOMAS L. FASNACHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17073 HAMLIN RD NE, LAKE FOREST PARK, WA 98155-5529
(206) 713-7684
Mailing address
17073 HAMLIN RD NE, LAKE FOREST PARK, WA 98155-5529
(206) 713-7684
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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