Individual
CHARMAINE ELIZABETH EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12984 HESPERIA RD STE 101, VICTORVILLE, CA 92395-5819
(760) 243-4009
(760) 243-3255
Mailing address
13010 HESPERIA ROAD, STE 200, VICTORVILLE, CA 92395
(760) 243-4009
(760) 243-3255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A80086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A800860
BLUE SHIELD
CA
Enumeration date
12/01/2006
Last updated
07/21/2022
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