Individual
ANDREW MALAY REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC (NRP)
Contact information
Practice address
350 S MAIN ST, STOWE, VT 05672-4489
(802) 253-4315
Mailing address
42 COLONIAL RD UNIT 101, FAIRFAX, VT 05454-9520
(651) 329-6452
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
105274
VT
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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