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

Kandise Jamerson

Individual provider Meals Provider · NPI 1104747989

Kandise Jamerson is a Meals Provider in Fontana, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

15484 Vanilla Bean Ln
Fontana, CA 92336-3459
Phone: (951) 488-5034
Show map & directions

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

Specialties & licences

Meals Provider (primary) Taxonomy 174200000X

Record details

NPI number1104747989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 24, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address15484 Vanilla Bean Ln, Fontana, CA 92336-3459