Search › California › 163WS0200X
Bonita Knuckles
NPI 1932731916 · on the registry since 2020
Practice
- Address
- 1922 Moosup Ct
Fairfield, CA 94533 - Phone
- (707) 971-5024
- Organisation at this address
- Beaunity
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Also registered as
- 374J00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California