Individual
AMANDA BAKKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN
Contact information
Practice address
6340 CENTER DR, NORFOLK, VA 23502-4104
(703) 466-5150
Mailing address
6340 CENTER DR, NORFOLK, VA 23502-4104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86075402
AND
VA
Enumeration date
11/16/2021
Last updated
11/16/2021
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