KENNETH B AHLSTROM

BREMERTON, WA
NPI1689686404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
Mr. KENNETH B AHLSTROM ATC
6855 ILLAHEE RD NE
BREMERTON, WA 98311-9626
Phone number: 360-692-0956
Mailing Address
Mr. KENNETH B AHLSTROM ATC
6855 ILLAHEE RD NE
BREMERTON, WA 98311-9626
Phone number: 360-692-0956