Individual
GEOVANNA FIALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457
(860) 347-6971
Mailing address
192 HOPE ST, STAMFORD, CT 06906-2030
(203) 561-7536
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6211
CT
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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