| NPI | 1285164491 |
|---|---|
| Doing Business As | INBALANCE DIABETES EDUCATION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOHN HACKBARTH Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |