Individual
MARY KOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3342 TOLEDO TER APT 409, HYATTSVILLE, MD 20782-1376
(312) 257-7505
Mailing address
2050 LEXINGTON RD, VERSAILLES, KY 40383-1738
(312) 257-7505
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
04/07/2026
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