Individual
JUSTIN BAKAIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, CNSC
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Mailing address
264 ACADEMY RD, MONMOUTH, ME 04259-7033
(207) 620-2179
(207) 753-7234
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
DI1080
ME
Other
Enumeration date
03/05/2012
Last updated
03/03/2025
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