Organization
HOLY FAMILY MEDICAL
Active
Other names
Enriqueta C. Mayuga, MD PS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUETA MAYUGA MD (PHYSICIAN/OWNER)
(509) 547-5261
Entity
Organization
Contact information
Practice address
531 W PARK ST STE 1, PASCO, WA 99301-5270
(509) 547-5261
Mailing address
531 W PARK ST STE 1, PASCO, WA 99301-5270
(509) 547-5261
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD00010863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023654
—
WA
Enumeration date
08/20/2009
Last updated
08/20/2009
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