Mayuga, Henrietta Lorena

Mayuga, Henrietta Lorena is an individual health care provider with primary practice located at 7131 W Deschutes Avenue Suite 101, Kennewick WA 99336. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mayuga, Henrietta Lorena can be contacted via phone (509) 222-1260.

Contact Information

Primary practice address
7131 W Deschutes Avenue Suite 101 Kennewick WA 99336
Phone: (509) 222-1260
Fax: (509) 222-1264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00035419 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00035419 Washington

Profile Details

NPI number 1497719256
LBN Legal business name Mayuga, Henrietta Lorena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated May 7th, 2013 - about 12 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 1497719256 NPPES
Washington Other 319211600 MEDICARE GROUP #
Washington MEDICAID 8211757 MEDICARE GROUP #

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