Healthcare Provider Details

I. General information

NPI: 1063124543
Provider Name (Legal Business Name): YEMAYA STAFFING AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2022
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10832 NEWVILLE AVE
DOWNEY CA
90241-4030
US

IV. Provider business mailing address

10832 NEWVILLE AVE
DOWNEY CA
90241-4030
US

V. Phone/Fax

Practice location:
  • Phone: 310-967-9076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JESSICA RAMIREZ
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 310-967-9076