Individual
GLENDY MIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8427 DORSEY CIR STE 101, MANASSAS, VA 20110-4596
(703) 330-7517
(703) 656-4893
Mailing address
9241 HOOD RD, MANASSAS, VA 20110-5939
(571) 778-7561
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002104312
VA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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