CHAD DOUGLAS FASHANT

FEDERAL WAY, WA
NPI1871701169
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  ma00017855)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- CHAD DOUGLAS FASHANT L.M.P.
1612 SW DASH POINT RD
FEDERAL WAY, WA 98023-4530
Phone number: 253-835-5678
Mailing Address
-- CHAD DOUGLAS FASHANT L.M.P.
17041 34TH AVE S
SEATAC, WA 98188-4449
Phone number: 206-218-7648
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