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

Latijera Macon-Wilson, CAMCT

Individual provider Massage Therapist · NPI 1629849278

Latijera Macon-Wilson, CAMCT is a Massage Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

3969 4th Ave Ste 206
San Diego, CA 92103-3165
Phone: (619) 403-9024
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 36520 (CA)

Record details

NPI number1629849278
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAMCT
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 11, 2024

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