Fasa Family Wellness, Pllc
NPI #1861495640 in Longview, Washington
Provider Information
- NPI Number
- 1861495640
- Entity Type
- Organization
- Organization Name
- Fasa Family Wellness, Pllc
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- May 24, 2005
- Last Updated
- May 29, 2025
Practice Location
- Address
- 1114 BROADWAY ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3842
- Phone
- (360) 577-3682
Authorized Official
- Name
- TERRENCE EUGENE HESS
- Title
- OWNER
- Phone
- (360) 754-3338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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