Individual
MS. DAMONIQUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
794301
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AC005177
MD
367500000X
Certified Registered Nurse Anesthetist
AP144730
TX
Other
Enumeration date
12/19/2019
Last updated
08/14/2025
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