# HOLY FAMILY MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Enriqueta C. Mayuga, MD PS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053543231
- **Authorized official:** DR. ENRIQUETA MAYUGA MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (509) 547-5261

## Contact information

- **Practice address:** 531 W PARK ST STE 1, PASCO, WA 99301-5270
- **Practice address phone:** (509) 547-5261
- **Mailing address:** 531 W PARK ST STE 1, PASCO, WA 99301-5270
- **Mailing address phone:** (509) 547-5261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD00010863 | WA | Yes |

## Other

- **Enumeration date:** 08/20/2009
- **Last updated:** 08/20/2009