Individual
WILLIAM JOSEPH EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
1006 MUNICIPAL DR, FARMINGTON, NM 87401-5442
(505) 325-1720
(505) 325-1611
Mailing address
1006 MUNICIPAL DR, FARMINGTON, NM 87401-5442
(505) 325-1720
(505) 325-1611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0077241
NM
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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