Individual
CARLY ALEXIS EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PROSPECT AVE STE 409, HACKENSACK, NJ 07601-1997
(551) 996-3942
Mailing address
20 PROSPECT AVE STE 409, HACKENSACK, NJ 07601-1997
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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