person
Fontaine Willis
NPI 1184215550

Fontaine Willis is a Driver based in San Bernardino, CA. Fontaine Willis practices in San Bernardino, CA. The NPI Number for Fontaine Willis is 1184215550 and holds a License No. Y7940726 (California).

The current practice location address for Fontaine Willis is 4420 N Varsity Ave Apt 1040, San Bernardino, CA and can be reached out via phone at 213-949-6845. You can also correspond with Fontaine Willis through the mailing address at 4420 N VARSITY AVE APT 1040, SAN BERNARDINO, CA - 92407-4636 (mailing address contact number: 213-949-6845).

Location: 4420 N Varsity Ave Apt 1040, San Bernardino, CA, 92407-4636
person
Provider Profile Details
NPI Number
1184215550
Provider Name
Fontaine Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
4420 N Varsity Ave Apt 1040, San Bernardino, CA, 92407-4636
Phone Number
213-949-6845
Fax Number
Provider Enumeration Date
01/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4420 N Varsity Ave Apt 1040
City
State
Zip
92407-4636
Phone Number
213-949-6845
Fax Number
person
Provider Business Mailing Address Details
Address
4420 N Varsity Ave Apt 1040
City
State
Zip
92407-4636
Phone Number
213-949-6845
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
Y7940726 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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