Individual
TANZANIA DINKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 E CLEMMONSVILLE RD, WINSTON SALEM, NC 27107-4226
(336) 995-1056
Mailing address
2390 BROMLEY TER APT 302, WINSTON SALEM, NC 27103-5054
(336) 995-1056
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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