Individual
MRS. DEIDRE D DEGRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
910 S STAGECOACH CT, WICHITA, KS 67230-9136
(316) 371-0707
Mailing address
910 S STAGECOACH CT, WICHITA, KS 67230-9136
(316) 371-0707
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
12080014
TN
Other
Enumeration date
07/23/2007
Last updated
11/05/2012
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