Provider Demographics
NPI:1902512171
Name:DE POMPEO, JAIMEE STOLL
Entity Type:Individual
Prefix:
First Name:JAIMEE
Middle Name:STOLL
Last Name:DE POMPEO
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 1:47 WEST ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2035
Mailing Address - Country:US
Mailing Address - Phone:631-513-3661
Mailing Address - Fax:
Practice Address - Street 1:47 WEST ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2035
Practice Address - Country:US
Practice Address - Phone:631-513-3661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty