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JACQUELYN BANOUVONG
NPI 1851036073
Specialist in Daly City, CA

Active since May 02, 2022
3 MORTON DR, DALY CITY, CA 94015(415) 407-0561 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Banouvong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN BANOUVONG (NPI 1851036073) is an individual specialist in Daly City, California and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1851036073
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACQUELYN BANOUVONG
Location Address3 MORTON DRDaly City, CA 94015-4415
Mailing Address3 Morton DrDaly City, CA 94015-4415
Phone(415) 407-0561
Sole ProprietorNo
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1851036073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
3 MORTON DR, Daly City, CA 94015
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Banouvong's NPI number?

The NPI number for Jacquelyn Banouvong is 1851036073. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Jacquelyn Banouvong located?

Jacquelyn Banouvong practices at 3 Morton Dr, Daly City, CA 94015. The listed phone number is (415) 407-0561.

What is Jacquelyn Banouvong's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Banouvong was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.