Individual
JACKILYN BURKEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 W 11 MILE RD, MADISON HEIGHTS, MI 48071-3103
(173) 422-4547
Mailing address
905 W 11 MILE RD, MADISON HEIGHTS, MI 48071-3103
(173) 422-4547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004823
MI
374J00000X
Doula
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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