DEVREE JESSE DEAN DE LA ROSA-WILDER

KLAMATH FALLS, OR
NPI1841014289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-11-12
Last Update Date2024-11-12
Business Address
DEVREE JESSE DEAN DE LA ROSA-WILDER
1312 KANE ST
KLAMATH FALLS, OR 97603-3932
Phone number: 541-883-1030
Mailing Address
DEVREE JESSE DEAN DE LA ROSA-WILDER
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030