Iyanna Damanze, DPM
Podiatrist, Foot & Ankle Surgery in Winston Salem, NC. Individual provider (NPI-1).
NPI number1346097987
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1346097987
- Entity type
- Individual (NPI-1)
- Name
- Iyanna Damanze
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2024
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 00000 | NC | Yes |
Practice location
1 Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-8170
Mailing address
8539 Gate Pkwy W Unit 1518Jacksonville, FL 32216-1046
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