Banouvong, Jacquelyn

Banouvong, Jacquelyn is an individual health care provider with primary practice located at 3 Morton Dr , Daly City CA 94015-4415. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Banouvong, Jacquelyn can be contacted via phone (415) 407-0561.

Contact Information

Primary practice address
3 Morton Dr Daly City CA 94015-4415
Phone: (415) 407-0561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1851036073
LBN Legal business name Banouvong, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2022
Last updated May 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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