Jenny Renee Wilder De La Rosa, CRM PSS

NPI #1093468068 in Klamath Falls, Oregon

Provider Information

NPI Number: 1093468068
Entity Type: Individual
Name: Jenny Renee Wilder De La Rosa, CRM PSS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CRM PSS
Enumeration Date: Jan 31, 2022
Last Updated: Jan 31, 2022

Practice Location

Address: 3206 ONYX AVE
City: Klamath Falls
State: Oregon
ZIP Code: 97603-7279
Phone: (541) 591-1877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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