Mayuga, Enriqueta

Mayuga, Enriqueta is an sole proprietor health care provider with primary practice located at 531 W Park St Suite 1, Pasco WA 99301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mayuga, Enriqueta can be contacted via phone (509) 547-5261.

Contact Information

Primary practice address
531 W Park St Suite 1 Pasco WA 99301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00010863 Washington

Profile Details

NPI number 1518914373
LBN Legal business name Mayuga, Enriqueta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Mar 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518914373 NPPES
Washington MEDICAID 1023654

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