NPI 1104747989

Kandise Jamerson

Practitioner Meals Provider Fontana, CA

Practice location

Address: 15484 Vanilla Bean Ln, Fontana, CA 92336-3459
Phone: (951) 488-5034

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in California →

Registry record

NPI: 1104747989
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2026
Record last updated: 24 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.