Individual
BONITA KNUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1922 MOOSUP CT, FAIRFIELD, CA 94533-6648
(707) 971-5024
Mailing address
1922 MOOSUP CT, FAIRFIELD, CA 94533-6648
(707) 971-5024
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
541664
CA
374J00000X
Doula
—
—
Other
Enumeration date
02/07/2020
Last updated
04/06/2026
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