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Organization

NOVADERM CROWN SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICE NICOLE BLACKMON (MANAGER)
(888) 406-8099
Entity
Organization

Contact information

Practice address
438 HOBRON LN PH 1, HONOLULU, HI 96815-1238
(888) 406-8099
Mailing address
438 HOBRON LN PH 1, HONOLULU, HI 96815-1238
(888) 406-8099

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/19/2026
Last updated
05/19/2026
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