Provider Demographics
NPI:1275673881
Name:MALIN, SHERYL PUNCH (RN, LAC)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:PUNCH
Last Name:MALIN
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 KAPIOLANI BLVD
Mailing Address - Street 2:UNIT 2909
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-4485
Mailing Address - Country:US
Mailing Address - Phone:808-222-4622
Mailing Address - Fax:
Practice Address - Street 1:2525 S KING ST
Practice Address - Street 2:SUITE 309
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3154
Practice Address - Country:US
Practice Address - Phone:808-222-4622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU 661174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist