person
Ms. Maria Charisma Sideco Liceralde, APRN,PMHNP,BC
Adult Psychiatric/Mental Health Registered Nurse in San Jose, California
NPI 1134307507

Maria Charisma Sideco Liceralde is an Adult Psychiatric/Mental Health Registered Nurse based in San Jose, CA and is specialized in Psychiatric/Mental Health, Adult. Maria Charisma Sideco Liceralde practices in San Jose, CA and has the professional credentials of APRN,PMHNP,BC. The NPI Number for Maria Charisma Sideco Liceralde is 1134307507 and holds a License No. 715901 (California).

The current practice location address for Maria Charisma Sideco Liceralde is 80 Great Oaks Blvd, San Jose, CA and can be reached out via phone at 408-363-3000 and via fax at 408-363-3046. You can also correspond with Maria Charisma Sideco Liceralde through the mailing address at 80 GREAT OAKS BLVD, SAN JOSE, CA - 95119-1310 (mailing address contact number: 408-363-3000).

Location: 80 Great Oaks Blvd, San Jose, CA, 95119-1310
person
Provider Profile Details
NPI Number
1134307507
Provider Name
Maria Charisma Sideco Liceralde
Credential
APRN,PMHNP,BC
Provider Entity Type
Individual
Gender
Female
Address
80 Great Oaks Blvd, San Jose, CA, 95119-1310
Phone Number
408-363-3000
Fax Number
408-363-3046
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
80 Great Oaks Blvd
City
State
Zip
95119-1310
Phone Number
408-363-3000
Fax Number
408-363-3046
person
Provider Business Mailing Address Details
Address
80 Great Oaks Blvd
City
State
Zip
95119-1310
Phone Number
408-363-3000
Fax Number
408-363-3046
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
715901 (California)
Definition
Definition to come...
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