| Doctor Name: | DAMIANO DE SANO IOCOVOZZI |
| NPI Number: | 1255541256 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | NP10685 |
| Business Practice Address: | 34131 Date Palm Dr Cathedral City, CA - 922346884 |
| Business Phone Number: | 7607704600 |
| Business Fax Number: | 7607701564 |
| Mailing Address: | 627 Poppy St, PALM SPRINGS |
| State: | CA |
| Postal Code: | 922625002 |
| Phone Number: | 7603233517 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP10685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |