Individual
DR. GINO BANCAYANVEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND, MS, CNS, LDN
Contact information
Practice address
38 NORTH ST, MACHIAS, ME 04654-1123
(619) 721-2550
Mailing address
38 NORTH ST, MACHIAS, ME 04654-1123
(619) 721-2550
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
164.022503
IL
175F00000X
Naturopath
—
—
Other
Enumeration date
01/07/2020
Last updated
01/23/2026
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