Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fontaine Willis

Individual provider Driver · NPI 1184215550

Fontaine Willis is a Driver in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

4420 N Varsity Ave Apt 1040
San Bernardino, CA 92407-4636
Phone: (213) 949-6845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence Y7940726 (CA)

Record details

NPI number1184215550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021
Mailing address4420 N Varsity Ave Apt 1040, San Bernardino, CA 92407-4636

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