Individual
DICKSON POKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9610 57TH AVE APT 9F, CORONA, NY 11368-3412
(443) 636-1368
Mailing address
1026 CROMWELL BRIDGE RD, BALTIMORE, MD 21286-3318
(410) 583-1515
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
09/23/2024
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