Individual
TANYA VICTORIA PETRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8160 FREEDOM LN NE, UNIT D, LACEY, WA 98516
(360) 455-4425
Mailing address
3201 PACIFIC AVE, UNIT 105, TACOMA, WA 98418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD.OD.70055125
WA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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