Individual
CHANEL JANAE EARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27261 LAS RAMBLAS STE 220, MISSION VIEJO, CA 92691-6468
(714) 966-8650
Mailing address
27261 LAS RAMBLAS STE 220, MISSION VIEJO, CA 92691-6468
(714) 966-8650
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09489583
KAISER
CA
Enumeration date
03/01/2018
Last updated
03/01/2018
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