| Doctor Name: | MARY ALICE EARHART |
| NPI Number: | 1073653770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LM. RN |
| License Number: | 361608 |
| Business Practice Address: | 55100 Rue Marande Thermal, CA - 922749231 |
| Business Phone Number: | 7603925046 |
| Business Fax Number: | 7603478276 |
| Mailing Address: | 55100 Rue Marande, THERMAL |
| State: | CA |
| Postal Code: | 922749231 |
| Phone Number: | 7603925046 |
| Fax Number: | 7603478276 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 361608 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |