Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latisha Williamson

Individual provider Clinical Pathology Physician · NPI 1730870130

Latisha Williamson is a Clinical Pathology Physician in San Jacinto, California. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023

Practice location Address checks out

1187 Newberg Cmns
San Jacinto, CA 92582-4299
Phone: (702) 937-5694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology Physician (primary) Taxonomy 207ZC0006X · Licence D07298637 (AZ)

Record details

NPI number1730870130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023