Individual
MAKYLA AMBREA BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST/DME
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
2701450827
MI
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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