MUDLAKE AMBULANCE
Transportation at 1100, Mud Lake, ID

License number
Idaho 7714
Category
Transportation
Type
Land Transport
Owner
Name: MELISSA WEBSTER
Title: TREASURER
Phone: (208) 716-2369
Address
Address 2
1055 EAST 1100 NORTH, Mud Lake, ID 83450
PO Box 3362, Idaho Falls, ID 83403
National Provider ID: 1699854141
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.