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LATIJERA MACON-WILSON CAMCT
NPI 1629849278
Massage Therapist in San Diego, CA

Active since January 12, 2024
3969 4TH AVE STE 206, SAN DIEGO, CA 92103(619) 403-9024 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latijera Macon-wilson Camct NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATIJERA MACON-WILSON CAMCT (NPI 1629849278) is an individual massage therapist in San Diego, California, licensed in California (36520) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1629849278
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLATIJERA MACON-WILSONCredential: CAMCT
Location Address3969 4TH AVE STE 206San Diego, CA 92103-3165
Mailing Address3969 4th Ave Ste 206San Diego, CA 92103-3165 · (619) 403-9024
Phone(619) 403-9024
Sole ProprietorNo
Enumeration DateJanuary 12, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1629849278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 36520
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
3969 4TH AVE STE 206, San Diego, CA 92103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latijera Macon-wilson's NPI number?

The NPI number for Latijera Macon-wilson is 1629849278. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is Latijera Macon-wilson located?

Latijera Macon-wilson practices at 3969 4th Ave Ste 206, San Diego, CA 92103. The listed phone number is (619) 403-9024.

What is Latijera Macon-wilson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Latijera Macon-wilson was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.