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Jacquelyn Banouvong
Specialist in Daly City, California
NPI 1851036073

Jacquelyn Banouvong is a Specialist based in Daly City, CA. Jacquelyn Banouvong practices in Daly City, CA. The NPI Number for Jacquelyn Banouvong is 1851036073 and holds a License No. (California).

The current practice location address for Jacquelyn Banouvong is 3 Morton Dr, Daly City, CA and can be reached out via phone at 415-407-0561.

Location: 3 Morton Dr, Daly City, CA, 94015-4415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851036073
Provider Name
Jacquelyn Banouvong
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 Morton Dr, Daly City, CA, 94015-4415
Phone Number
415-407-0561
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Morton Dr
City
Daly City
State
California
Zip
94015-4415
Phone Number
415-407-0561
Fax Number
person
Provider Business Mailing Address Details
Address
3 Morton Dr
City
Daly City
State
California
Zip
94015-4415
Phone Number
415-407-0561
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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