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Individual
YANINA J FIALLOS
Active
Individual
YANINA J FIALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME69011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123078
HUMANA
FL
05
—
251448600
—
FL
01
—
32240
BLUE CROSS
FL
Enumeration date
11/15/2006
Last updated
04/28/2015
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