Search › California › 174400000X
Jacquelyn Banouvong
NPI 1851036073 · on the registry since 2022
Practice
- Address
- 3 Morton Dr
Daly City, CA 94015 - Phone
- (415) 407-0561
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Sex
- Female
- Record last updated
- 2022-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California