Provider Demographics
NPI:1932899408
Name:PALOMPO, MARIA LIRIO B
Entity Type:Individual
Prefix:MRS
First Name:MARIA LIRIO
Middle Name:B
Last Name:PALOMPO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MARIA LIRIO
Other - Middle Name:B
Other - Last Name:PALOMPO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:95-957 UKUWAI ST APT 1807
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-5940
Mailing Address - Country:US
Mailing Address - Phone:808-781-6291
Mailing Address - Fax:
Practice Address - Street 1:95-957 UKUWAI ST APT 1807
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-5940
Practice Address - Country:US
Practice Address - Phone:808-781-6291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist