NICOLE MARIE SOUSA SANTOS

LAGUNA HILLS, CA
NPI1366169476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F349759)
Enumeration Date2022-10-20
Last Update Date2022-10-20
Business Address
NICOLE MARIE SOUSA SANTOS
3141 MOULTON PKWY SUITE 102
LAGUNA HILLS, CA 92653
Phone number: 949-916-9100
Mailing Address
NICOLE MARIE SOUSA SANTOS
57 OSAGE ST
SELDEN, NY 11784-2729
Phone number: 631-942-8458