Individual
SASHA KHOSHANIQUES DORESTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3396 PERSHALL RD, FERGUSON, MO 63135-1407
(314) 377-4329
Mailing address
4764 GRACE FARMS LN, JACKSONVILLE, FL 32258-4242
(904) 982-8504
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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