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Individual

SHAKEYA LASHAE HARGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRDH

Contact information

Practice address
537 NW LAKE WHITNEY PL, PORT ST LUCIE, FL 34986-1620
(772) 462-3800
Mailing address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 462-3800

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH33979
FL

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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