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Individual

MRS. JENNIFER MARIE DE LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
812 W TOWN AND COUNTRY RD, ORANGE, CA 92868-4712
(714) 547-6494
(714) 547-6464
Mailing address
812 W TOWN AND COUNTRY RD, ORANGE, CA 92868-4712
(714) 547-6494
(714) 547-6464

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/10/2014
Last updated
09/10/2014
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