Individual
SHASTINA PARAHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10427 PETSAFE WAY, KNOXVILLE, TN 37932-3428
(865) 936-9782
(865) 321-1864
Mailing address
10427 PETSAFE WAY, KNOXVILLE, TN 37932-3428
(865) 936-9782
(865) 321-1864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2387
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460643559
—
TN
Enumeration date
09/02/2013
Last updated
01/23/2023
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