Individual
GLENDA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 NW 8TH ST STE 104, HOMESTEAD, FL 33030-4452
(786) 601-2042
Mailing address
385 W 54TH ST, HIALEAH, FL 33012-2725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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