Individual
GAVIN SERENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6051 W SWEETWATER AVE, GLENDALE, AZ 85304-1112
(623) 486-6400
Mailing address
11837 W MONTE LINDO LN, SUN CITY, AZ 85373-5004
(620) 877-0358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1351
AZ
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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