ANDREA LARSON

RUTLAND, VT
NPI1821158346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VT  055-0030490)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
-- ANDREA LARSON PA-C
160 ALLEN ST
RUTLAND, VT 05701-4560
Phone number: 802-775-7111
Mailing Address
-- ANDREA LARSON PA-C
1047 MAIN ST
WEST RUTLAND, VT 05777-9526
Phone number: