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Individual

LORETTA M NICCOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
24002 VIA FABRICANTE STE 501, MISSION VIEJO, CA 92691-3934
(949) 454-8811
(949) 454-8833
Mailing address
22602 FORMENTOR, MISSION VIEJO, CA 92692-1151

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
294615
CA

Other

Enumeration date
05/12/2026
Last updated
05/12/2026
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