Individual
EDITH ADUSEI POKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8840 CYPRESS WATERS BLVD, SUITE 300, COPPELL, TX 75019-4594
(469) 524-5562
Mailing address
1901 BRANDYWYN LN, BUFFALO GROVE, IL 60089-6693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056011106
IL
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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