SHALENA PETERSON

JOHNSON CITY, TN
NPI1083965651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TN  2236)
Enumeration Date2012-09-24
Last Update Date2012-09-24
Business Address
-- SHALENA PETERSON PA-C
301 MED TECH PKWY STE 280
JOHNSON CITY, TN 37604-2364
Phone number: 423-794-5550
Mailing Address
-- SHALENA PETERSON PA-C
301 MED TECH PKWY STE 280
JOHNSON CITY, TN 37604-2364
Phone number: 423-794-5550
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