NPI:
1053543231
Provider Name:
HOLY FAMILY MEDICAL
Doing Business As: ENRIQUETA C. MAYUGA, MD PS
Classification:
Clinic/Center - 261QM2500X
Entity Type:
Organization
Specialization: Medical Specialty
Address:
531 W PARK ST STE 1
PASCO, WA
ZIP 99301
Phone:
(509) 547-5261
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HOLY FAMILY MEDICAL is a medical specialty clinic center in Pasco, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). HOLY FAMILY MEDICAL NPI is 1053543231. The provider is registered as an organization entity type.
The provider Is Doing Business As Enriqueta C. Mayuga, Md Ps.
The provider's business location address is:
531 W PARK ST STE 1
PASCO, WA
ZIP 99301-270
Phone: (509) 547-5261
The provider's authorized official is Enriqueta Mayuga .
The authorized official title is Physician/owner and has the following contact phone number (509) 547-5261.
The enumeration date for this NPI number is 8/20/2009 and was last updated on 8/20/2009.