IndividualActive
Latisha Williamson
NPI 1730870130 · Clinical Pathology Physician · San Jacinto, CA
Provider details
- NPI number
- 1730870130
- Entity type
- Individual
- Primary specialty
- Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- D07298637 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1187 Newberg Cmns
San Jacinto, CA 92582-4299
Phone: (702) 937-5694
Approximate (ZIP-level) locationGet directions
Mailing address
1187 Newberg Cmns
San Jacinto, CA 92582-4299
Registry dates
- Enumerated
- 2023-05-16
- Last updated
- 2023-05-16
- Certified
- 2023-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.