Individual
CHANCE M MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7635 N LA CHOLLA BLVD, TUCSON, AZ 85741-4202
(520) 297-2704
Mailing address
12527 N COTTONSEED LN, MARANA, AZ 85653-8228
(575) 650-1371
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002710
AZ
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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