Individual
YAW OWUSU-POKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5407 FALLRIVER ROW CT, COLUMBIA, MD 21044-2211
(443) 760-6842
Mailing address
5407 FALLRIVER ROW CT, COLUMBIA, MD 21044-2211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05351
MD
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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