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
Mailing address1187 Newberg Cmns, San Jacinto, CA 92582-4299