Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Banouvong

Individual provider Specialist · NPI 1851036073

Jacquelyn Banouvong is a Specialist in Daly City, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3 Morton Dr
Daly City, CA 94015-4415
Phone: (415) 407-0561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1851036073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022
Mailing address3 Morton Dr, Daly City, CA 94015-4415

Other providers in Daly City