Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Queen Mary Davis, REGISTEREDNURSE

Individual provider Driver · NPI 1356588123

Queen Mary Davis, REGISTEREDNURSE is a Driver in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
2

Practice location Address checks out

1807 S Genesee Ave
Los Angeles, CA 90019-5032
Phone: (323) 933-9014
Fax: (323) 937-1872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence CA #0367076 (CA)
Community Health Worker Taxonomy 172V00000X · Licence CA# 0367076 (CA)

Record details

NPI number1356588123
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedJanuary 14, 2009
Last updated in NPPESJanuary 14, 2009

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