TIA DOMINIQUE AGBORUCHE

DETROIT, MI
NPI1013687029
Former NameTIA DOMINIQUE SHARP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704311021)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MI  4704311021)
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  APRN.CRNA.0021121)
Enumeration Date2021-09-20
Last Update Date2024-10-07
Business Address
Mrs. TIA DOMINIQUE AGBORUCHE
20418 BINDER ST
DETROIT, MI 48234-1913
Phone number: 313-333-4038
Mailing Address
Mrs. TIA DOMINIQUE AGBORUCHE
20418 BINDER ST
DETROIT, MI 48234-1913
Phone number: 313-333-4038