ANNA L BLACKFORD

SAGLE, ID
NPI1114236429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
(Licence: ID  QK307464B)
Enumeration Date2010-10-04
Last Update Date2010-10-04
Business Address
ANNA L BLACKFORD
455 39 G RD
SAGLE, ID 83860-8960
Phone number: 208-290-1079
Mailing Address
ANNA L BLACKFORD
PO BOX 573
PONDERAY, ID 83852-0573
Phone number: 208-290-1079