Medical school: ARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN
Graduated: 2019
NPI: 1144789132
Practice Locations (2)
FASA FAMILY WELLNESS PLLC
1610 BISHOP RD SW, SUITE 7
TUMWATER, WA 985127303
3607543338
FASA FAMILY WELLNESS PLLC
2400 RACQUET LN
YAKIMA, WA 989026109
5092253668
Source: CMS National Downloadable File, September 2026.