Search › Michigan › 367500000X
Tia Agboruche
NPI 1013687029 · on the registry since 2021
Practice
- Address
- 20418 Binder St
Detroit, MI 48234 - Phone
- (313) 333-4038
Additional practice sites
- 410 W 10th Ave Fl 1, Columbus, OH
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
367500000X - Licence states on file
- MI, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan