Individual provider · Type 1 NPI

Sydney Malia Mariko Takemoto

Student in an Organized Health Care Education/Training Program · Honolulu, HI

NPI number 1477482065 Active

Practice location

2444 Dole Street, Krauss Hall 101
Honolulu, HI 96822

Call (808) 956-9559 Map

Fax (808) 956-2218

Mailing address

98-1759 Kupukupu St
Aiea, HI 96701-1716

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477482065

Sydney Malia Mariko Takemoto's National Provider Identifier is 1477482065, issued on May 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Honolulu, HI. The record was last updated on May 18, 2026.