Latisha Williamson
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1831709005
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1831709005
- Entity type
- Individual (NPI-1)
- Name
- Latisha Williamson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2020
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 376J00000X | Homemaker | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
4680 S Eastern Ave Ste HLas Vegas, NV 89119-6192
Phone 702-476-9283
Mailing address
4680 S Eastern Ave Ste HLas Vegas, NV 89119-6192
Phone 702-476-9283
Other practice locations
6128 W Sahara Ave
Las Vegas, NV 89146-3051
Las Vegas, NV 89146-3051
Phone 702-598-2048
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