| NPI | 1053543231 |
|---|---|
| Doing Business As | ENRIQUETA C. MAYUGA, MD PS |
| Entity Type | Organization |
| Authorized Contact | ENRIQUETA MAYUGA Physician/Owner 509-547-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA MD00010863) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |