Individual
MICHELLE S. MITTICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
604 W SPRING ST, SILVER CITY, NM 88061-4847
(575) 388-4464
(575) 388-2014
Mailing address
604 W SPRING ST, SILVER CITY, NM 88061-4847
(575) 388-4464
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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