White Line LLC

NPI #1548656242 in Basin, Wyoming

Provider Information

NPI Number
1548656242
Entity Type
Organization
Organization Name
White Line LLC
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Apr 9, 2015
Last Updated
Jun 13, 2016

Practice Location

Address
419 W C STREET
City
Basin
State
Wyoming
ZIP Code
82410
Phone
(307) 568-2041

Authorized Official

Name
CLAYTON DRAGGOO
Title
OWNER
Phone
(307) 568-2041

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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