Maria Charisma Sideco Liceralde in San Jose - Psychiatric/mental Health, Adult
Maria Charisma Sideco Liceralde - NPI 1134307507
Maria Charisma Sideco Liceralde is a Psychiatric/mental Health, Adult in San Jose, California. Maria Charisma Sideco Liceralde practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Maria Charisma Sideco Liceralde is 1134307507. The last update date is 2008-02-07.
Maria Charisma Sideco Liceralde's current location address is 80 Great Oaks Blvd, San Jose, California. You can contact this provider via phone number 4083633000 and fax number 4083633046. The mailing address for Maria Charisma Sideco Liceralde is 80 Great Oaks Blvd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Charisma Sideco Liceralde |
|---|---|
| Address | 80 Great Oaks Blvd, San Jose, California |
| Phone Number | 4083633000 |
| Fax Number | 4083633046 |
| Sole Proprietor | Y |
| Credentials | APRN, PMHN |
NPI Number Detail
| NPI Number | 1134307507 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 80 Great Oaks Blvd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951191310 |
| Phone Number | 4083633000 |
| Fax Number | 4083633046 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 163Wp0809X |
| Licence No | 715901 |
|
Definition: A psychiatric nurse who cares for adult patients. |
|
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What is the unique 10-digit identification code assigned to Maria Charisma Sideco Liceralde by the Centers for Medicare & Medicaid Services?
The Maria Charisma Sideco Liceralde has been issued the NPI (National Provider Identifier) 1134307507, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Maria Charisma Sideco Liceralde?
The Maria Charisma Sideco Liceralde is physically situated at 80 Great Oaks Blvd, in the city of San Jose, state of CA, with the postal code 951191310.
What is the Maria Charisma Sideco Liceralde's specialty and taxonomy code?
The Maria Charisma Sideco Liceralde's specialty is Psychiatric/mental Health, Adult, and the corresponding taxonomy code is 163Wp0809X.
When was the Maria Charisma Sideco Liceralde's 1134307507 issued?
The Maria Charisma Sideco Liceralde's 1134307507 was issued on 2008-02-07.
As of what date was the information regarding Maria Charisma Sideco Liceralde, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maria Charisma Sideco Liceralde, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-07.
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