Provider Demographics
NPI:1205697844
Name:ZIEMBA, JUNKO WATANABE
Entity type:Individual
Prefix:MRS
First Name:JUNKO
Middle Name:WATANABE
Last Name:ZIEMBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 W 178TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-4311
Mailing Address - Country:US
Mailing Address - Phone:310-710-3295
Mailing Address - Fax:
Practice Address - Street 1:2030 W 178TH ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-4311
Practice Address - Country:US
Practice Address - Phone:310-710-3295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL13908374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula