Individual
TOMEKA AQUAKELIA HARGRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SALON OWNER
Contact information
Practice address
478 KIRKLAND DR, LOCUST GROVE, GA 30248-7220
(863) 808-3586
Mailing address
478 KIRKLAND DR, LOCUST GROVE, GA 30248-7220
(863) 808-3586
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CL1214051
FL
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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