Individual
SERENITY GRACEANN SWEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(602) 839-5271
Mailing address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
64765
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2020
Last updated
10/11/2021
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