JOHN KENNETH FORD

TACOMA, WA
NPI1104819465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy173000000X Legal Medicine
(Licence: WA  PO00000753)
Enumeration Date2005-08-23
Last Update Date2017-04-30
Business Address
-- JOHN KENNETH FORD DPM
3407 E M ST
TACOMA, WA 98404-3931
Phone number: 206-275-9705
Mailing Address
-- JOHN KENNETH FORD DPM
PO BOX 111556
TACOMA, WA 98411-1556
Phone number: 253-686-8840
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