NPI 1376817676

Justin Bakaian, RDCNSC

Practitioner Dietary Manager Augusta, ME

Practice location

Address: 1 VA Ctr, Augusta, ME 04330-6795
Phone: (207) 623-8411
Mailing address: 264 Academy Rd, Monmouth, ME 04259-7033

Registered specialties (2)

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X

Other Dietary Manager providers in Maine →

Metabolic Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1006X Licence DI1080 (ME)

Other Dietitian, Registered providers in Maine →

Registry record

NPI: 1376817676
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2012
Record last updated: 3 Mar 2025

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.