Anna L Blackford is a Private Vehicle based in Ponderay, ID. Anna L Blackford practices in Sagle, ID. The NPI Number for Anna L Blackford is 1114236429 and holds a License No. QK307464B (Idaho).
The current practice location address for Anna L Blackford is 455 39 G Rd, Sagle, ID and can be reached out via phone at 208-290-1079.
Location: 455 39 G Rd, Sagle, ID, 83852-0573
Provider Profile Details
NPI Number
1114236429
Provider Name
Anna L Blackford
Credential
Provider Entity Type
Individual
Gender
Female
Address
455 39 G Rd, Sagle, ID, 83852-0573
Phone Number
208-290-1079
Fax Number
Provider Enumeration Date
10/04/2010
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
455 39 G Rd
City
State
Zip
83860-8960
Phone Number
208-290-1079
Fax Number
Provider Business Mailing Address Details
Address
455 39 G Rd
City
State
Zip
83860-8960
Phone Number
208-290-1079
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
QK307464B (Idaho)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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