Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | MD17820 | DC |
NPI | 1821135807 |
---|---|
Provider Name | Dr. Donna Marie Krasnewich |
First Address | Kensington, MD 20895-3403 |
Second Address | Kensington, MD 20895-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |