Individual
DR. NANCY JEAN PETRILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1ST MEDICAL GROUP, 77 NEALY AVE, LANGLEY AFB, VA 23665-2023
(757) 764-6973
Mailing address
104 CARNOUSTIE CT, YORKTOWN, VA 23693-5517
(757) 969-5368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9998
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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