Liceralde, Maria Charisma Sideco

Liceralde, Maria Charisma Sideco is an sole proprietor health care provider with primary practice located at 80 Great Oaks Blvd , San Jose CA 95119-1310. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Liceralde, Maria Charisma Sideco can be contacted via phone (408) 363-3000.

Contact Information

Primary practice address
80 Great Oaks Blvd San Jose CA 95119-1310
Phone: (408) 363-3000
Fax: (408) 363-3046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 715901 California

Profile Details

NPI number 1134307507
LBN Legal business name Liceralde, Maria Charisma Sideco
Credentials APRN, PMHNP, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2008
Last updated Feb 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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