Individual
TRISTAN DIEGO VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1342 PAPERMILL POINTE WAY # K, KNOXVILLE, TN 37909-1903
(865) 219-3506
(865) 588-5711
Mailing address
1326 PAPERMILL POINTE WAY # K, KNOXVILLE, TN 37909-1903
(865) 219-3506
(865) 588-5711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6226
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA6226
TN LICENSE
TN
Enumeration date
10/16/2024
Last updated
10/16/2024
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