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QUEENIE DAVID MD

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1982762472

Individual Registrant:
 QUEENIE  DAVID MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2704 E WILLOW ST  SIGNAL HILL, CA 90755-2217 US
Tel: 562-595-0203  Fax: 562-595-0062

Contact information for business:
2704 E WILLOW ST  SIGNAL HILL, CA 90755-2217 US
Tel: 562-595-0203  Fax: 562-595-0062

Registration Information:
NPI: 1982762472
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA14815

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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