Provider Demographics
NPI:1144696725
Name:KRAWIEC, GABRIELA DIANA (PHARMD, MPH)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:DIANA
Last Name:KRAWIEC
Suffix:
Gender:F
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1675
Mailing Address - Country:US
Mailing Address - Phone:443-602-7628
Mailing Address - Fax:
Practice Address - Street 1:101 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1675
Practice Address - Country:US
Practice Address - Phone:443-602-7628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist