Most Relevant Information
Provider Data
| NPI Number: | 1003442013 |
| Provider Name: | JACLYN NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 207RH0002X |
| Specialty: | Internal Medicine |
| License Number: | MT228157 |
Most Important Dates
| Enumeration Date: | 03/21/2020 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
4403 HARRISON BLVD STE 3630
OGDEN
UT
844033287
Practice Location Phone/Fax
| Phone: | 8013877900 |
| Fax: |
Provider Mailing Location
1015 WALNUT ST STE 401
PHILADELPHIA
PA
191075005
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |