Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FONTAINE WILLIS
Active Sole ProprietorFONTAINE WILLIS is a Driver healthcare provider located in SAN BERNARDINO, California. NPI 1184215550 is currently active in the NPPES registry. Verify at CMS.
Driver · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1184215550
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2021 (5.5152553286582 yrs)
- Last Updated
- Jan 28, 2021
- License
-
Y7940726 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4420 N VARSITY AVE APT 1040SAN BERNARDINO, CA, 924074636Browse CA providers · Browse ZIP 92407
- Phone
- 2139496845
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in SAN BERNARDINO, CA
| Name | Credential | NPI |
|---|---|---|
| JOSE ROSALES SILVA | — | 1700398583 |
| ANA VALLE | — | 1588137301 |
| MR. DAVID PEREZ CORPIN JR. | — | 1306408117 |
| MR. DENNIS CAEZAR CAVALTERA | — | 1861074916 |
| DJAIR VALDEZ | — | 1013684315 |
| MR. BASEM ISSA | — | 1932866480 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.