Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KWANDO ATEBA-LATEEF BRACEY III
Active Sole ProprietorMR. KWANDO ATEBA-LATEEF BRACEY III is a Day Training/Habilitation healthcare provider located in PORT HURON, Michigan. NPI 1598878977 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · PORT HURON, MI
Registration Details
- NPI Number
- 1598878977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (20.01771393058 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 HURON AVEPORT HURON, MI, 480603822Browse MI providers · Browse ZIP 48060
- Phone
- 8109664486
- Fax
- 8109859498
- Primary Specialty
-
Day Training/Habilitation
373H00000X
Other Day Training/Habilitation Providers in PORT HURON, MI
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS KENNETH HOWARD | — | 1548270309 |
| MRS. ROSEMARY JEAN VANBUSKIRK | — | 1760492557 |
| MRS. SUZAN E HOWARD | — | 1235242702 |
| MR. TONY JOHN CASTILLO | — | 1437262912 |
| MRS. SAMMIE M MATTHEWS | — | 1477666964 |
| MRS. TINA MARIE BAMBUSCH | — | 1952414450 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.