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NPI Code Detail

MEDICARE: JACLYN BRIANNA HU

MEDICARE:   JACLYN BRIANNA HU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1922946003
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYN BRIANNA HU
Provider Business Mailing Address
First Line : 141 PASEO PERDIDO
Second Line :
City : WALNUT
State : CA
Zip : 91789-2234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 141 PASEO PERDIDO
Second Line :
City : WALNUT
State : CA
Zip : 91789-2234
Country : US
Telephone Number : 909-292-8289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ JACLYN BRIANNA HU ” Practice Location

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