Individual
LATISHA WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1187 NEWBERG CMNS, SAN JACINTO, CA 92582-4299
(702) 937-5694
Mailing address
1187 NEWBERG CMNS, SAN JACINTO, CA 92582-4299
(702) 937-5694
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
D07298637
AZ
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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